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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p Date: Permit Number: D3�� RECEIVED OCT 1'.6 2018 B 'Id' P i 't A I' t' u i ing ermpp ica ion DIM I'll in p Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial St. Lucie county®nt Residential PERMIT APPLICATION FOR: Gas tank El PROPOStb IlV(PROVEMENT LOCATIO#N ry s . I Address: 10 11) NVV Lancewooa l er Legal Description: Harbour Ridge -Plat 8- East Hammock Village Unit 8 SCANNED Property Tax ID #: 4426-803-0018-000-4 Site Plan Name: i Project Name: Davis Setbacks Front Back: Right Side: Left Side: Connect from generator to existing gas line Lot No. Block No. Haaitionai worK to De 11HVAC errormea Tank unaer tnis permit— cnecK an Gas Piping apply: Shutters ❑.Windows/Doors _Gas _ Electric 0 Plumbing Sprinklers F]Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: `^ Cost of Construction:$ �j �.( }1� Utilities: 0Sewer Septic Building Height: Name Carl & Gloria Davis Address:1516 NW Lancewood Ter Name: Blake Cowdell Company: Energized Gas City: Palm City State: FL Zip Code: 34990 Fax: Phone N0.772-336-5968 Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 E-Mail: EnergizedGenerators@gmail.com E-Mail:! Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: FL34747 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. F "t Sl1ITLEMENTAL'CONSTR`UCTI'O,NaL14E (' M N µ LAWINFO'RMATIQN 1 t x 7 „! DESIGNER/ENGINEER: _ Not Applicable N a m e: Carl & Gloria Davis MORTGAGE COMPANY: N a me: Blake Cowdell Address: 1516 NW Lancewood Ter _ Not Applicable Add ress: 1516 NW Lancewood Ter City; Palm City State: Zip:', Phone City: Fort Pierce Zip: Phone: State: FEE 'SIMPLE TITLE HOLDER: _ Not Applicable Name: Ad dress: 4252 Bandy Blvd BONDING COMPANY: Name: _Not Applicable Address: City' City: Zip: i 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. SigrOrl re of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contractor/License Holder OF FLORIDA 1 �,� STATE OF FLORIDA 1COUNTY COON OF � —T" � s � e— COUNTY OF 9,r� The f- going instr m nt was acknowledged before me this day of�(�� 20 by The f rgoing instrument wa acknowled before me this day of 20� by , rAVO (In,WO rAI(o , V - 7i� -10, Name of p rs n making statement Personally Known OR Produced Identification Name of persop making statement Personally Known _ _ OR Produced Identification Type Type of enti ' TIdification Pr uc Produ ed (Signature of N tary Public- State of Florida) (Sign ture of N ary Public- State o a ) Commis ' No. R.Poo,,, "r""'''5�SA BLACKSHE 4 mission No. �`'�rYPJe;,, A( A BLACKSHE _r _State of Florida-NoIary P _. ._ Commission # GG 2378 _. blic '_ *sState of Florida -Notary pu 7 3a Commission # GG cvC 2378 M QNZJul 12, 2022 my 12, 2022 REVIEWS FRONT ZONI NS VEGETATION SEA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW' REVIEW DATE RECEIVED DATE[! COMPLETED tev. 8/M7