HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�_,v
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; Permit Number: 0 osa
RECEIVED
• ' OCT' i s 2018
Building Permit Application Permitting Departmei
Planning and Development Services St. Lucie County
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank
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P"ROPOSED IMPROVEMENT LOCAT,IONr
Address: 11!3 Uueen Eugenia Ct ISCANNE
Legal Description: Queens Cove -Unit 1- By
'MAIL r
II' • County
Property Tax ID #: 1414-701-0051-000-8
Site Plan Name:
Project Name: Hock/Sanchez
Setbacks Front Back:
Right Side: Left Side:
Lot No. H
Block No. 6
Install model 420 aboveground LP tank and run gas lines to range, dryer, BBQ stub out
EjHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of'Construction: $ 1995.00 UtilitiestiSewer Septic Building Height:
OWNER/LESSEE4 rgvfi
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CONTRACTOR
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Name Roseanne Sanchez
Name: Blake Cowdell
Com an Energized Gas
Company:
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Address:119 Queen Eugenia Ct
City: Fort Pierce State: FL
Address: 4252 Bandy Blvd
Zip Code: 34949 Fax:
City. Fort Pierce State: FL
Phone No.561-459-7625
Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone No. 772-466-1095
Fill in fee simple Title Holder on next page ( if different
E-Mail: EnergizedGenerators@gmail.com
from the Owner listed above)
State or County License: FL34747
Y-W y, g Iwo =J 4 „L;%.%Jn„r„ rvua[:e or 1-ommen cement is required.
'SUPP.LEMENTAL CONSTRUGTI'ON LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Roseanne Sanchez
N a m e: Blake Cowdell
Address: 119 Queen Eugenia Ct
Address: 119 Queen Eugenia Ct
City: Fort Pierce State:
City: Fort Pierce State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address: 4252 Bandy Blvd
City:
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 certify 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
structure. 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 our Notice of Commencement.
Signs .ure o Owner/ Lessee Contractor as Agent for Owner
Sig o Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA J
COUNTY OF Y� e,
COUNTY OF l ( 1 , A
The forgoing instrument was acknowled ed before m
he forgoi g instrument was acknowled ed before me
this � day of OG�%D%p+f' 20 by r
y of �h6ex- 20W by
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Name of p s n making statement
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REVIEWS
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DATE
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DATE
COMPLETED
Rev. 8/2/17