HomeMy WebLinkAboutappk11 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
.Date: Permit Number:
RECEIVED
'Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
JUL 0 9 2019
Building Permit Application Permitting Department
St. Lucie COLrnty
Commercial Residential X
PERMIT TYPE: Gas Tank
j P'ROPOSED IMPROVEMENT LOCATION:
ddress•
8412 Muirfield WAY Port St Lucie, FL 34986
I •
Property Tax ID #: 3328-802-0035-000-2 Lot No.32
Site Plan Name: Block No.
Project Name: Wright
DETAILED DESCRIPTION OF WORK:
Supply and install 250 gallon underground LP tank with gas line to generator and final connect
'I
I
CONSTROLTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _'Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3195.00 Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
,OVVNER/LESSEE:
CONTRACTOR:
Name Richard Wright
Name: Blake Cowdell
Company: Energized Gas
Address:8412 Muirfield Way
Address:4252 Bandy Blvd
City: 8412 Muirfield Way State: _
Zip Code: 34986 Fax:
City: Fort Pierce State: FL
Phone No.518-209-2992
Zip Code: 34981 Fax: 7723186672
E-Mail:
Phone No!724661095
E-Mail energizedgenerators@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County LicenseFL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Q rn
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. J`D 6 V
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
~
;DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
;Name:
;Address:
Name:
Address: .
;City: State:
City: State:
''Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
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.
II 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
f"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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Ewa C.6t �-
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Q$• Lucie
COUNTY OF 5A . Luc % f
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of iu 1 Y , 20LI by
this I day of lul y 20 9 by
(glo.4 coyidell __
�lak.� Cowc�lell
Name of person making statement.
Name of person making statement.
Personally Known V OR Produced Identification
Personally Known _X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced .
(Signature of Notary
WIOIH®
(Signature of Notary Publ'
, - N6CI�®L� AP®NTE
Lllo •AI�4WTE
:�r '
Commission No. '°' °e Y COMISI 40 # FF963031
Commission No.
'°� �'c MY C liSION # FF963031
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" EXPIRES May 04, 2020
"'• ,q•,, ,.• EXPIRES May 04, 2020
14C7
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
'DATE
ECEIVED
ATE
OMPLETED
2/7/19