HomeMy WebLinkAboutBUILDING PERMIT APPLICATION".j
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I
Date: Permit Number: n�
RECEIVED
Building Permit Application
OCT 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie Cpt4nty, Permitting
23001 Virginia Avenue, Fort Pierce FL 34982
Phone- (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
FPERMIT APPLICATION FOR: Gas tank i
Q(�di (�IIF\Ofr�r'. c��;
Address: 2690 Conifer Dr Ok Lucie County
I
Legal Description: First Replat in Meadowood Unit Three -
Propel ty Tax ID #: 1334-506-0003-000-3
Site Plan Name:
Project Name:
SetbaIcks Front Back:
Right Side: Left Side:
Install 250 gallon LP tank to generator and final connect
i I
Lot No.46
Block No.
Haanionai worK to De nerrormea unaer tnis permit— cnecK an apply:
E1HVAC LJ Gas Tank Gas Piping _ Shutters ❑Windows/Doors
ri-�Electric 0 Plumbing OSprinklers E Generator 1:1 Roof Roof pitch
I
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3695.00 Utilities:
Sewer Septic Building Height:
A../ -. ..� ;ueE+itrya§ aR1 a,a.. eC k3C '' ..m M nl, $!
��� -
01NNRER/LESSEEfl { a
u,
a p W' . µ42 }—we.z,ua Y ,v h
CONTRACTOR �k{
�� �, ,� q<
�.
Name
Arthur & Sally Orban
Name: Blake Cowdell
Address:2690
Conifer Dr
Company: Energized Gas
City: Fort Pierce State: FIL
Address: 4252 Bandy Blvd
34951
Zip Code: Fax:
Fort Pierce FL
City: State:
Phone No.772-464-6769
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
from the Owner listed above)
IT value oT construction is $ZsoU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LLENtl LAWINFORMATION y
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
N a m e: Arthur & Sally Orban
N a m e: Blake Cowdell
Ad dress: 2690 Conifer Dr
Address: 2690Conifer Dr
City:
FortPierce State:
City: Fort Pierce State:
Zip:
Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:4252 Bandy Blvd
Address:
cityI
City:
Zip: Phone:
zip:,: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi iy that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structtre. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording; your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner
Contractor/Lice'h%-e`nolder
STATE OF FLORIDA STATE101�1�,ICOUNTOYOF ORID
COUNTY OF S1. Lle)iC,
The forgoing instrument was acknowledged before me
this day of (Z(,1 .4!�:: 201Z by �'
Name of pers making statement
Ily Known I OR Produced Id(
Identification
re /f Notary PubT State of Florida )
;ion No. (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
REC
DAT
COMPLETED
Rev. 8h/17
Qj G)o(�
NcnCn
M
tiCOQD
V _,M
The forgoing instrument was acknowledged before me
this --?-day of .W , 20—M by,
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produce-d� /i /1
of Ootary Public- State of Flo
Commission No.
(Seal)
—�oI'M
3-<
�o �•cn
—3 D
3 0' 00
NN. D
N = n
N X (n
`En D
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW