HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i Date: Permit '�� 51 Ok Pit Number:,
f LAUG
ECEIVED
dog*@0 6 9019
-- - - Building Permit ApplicatiCounf
!Planning and Development Services YF Permitting
Building and Code Regulation Division
12300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPEIP Tank
a
�PROPO;SE® IIVIPROVEMENT LOGATIO'N- ` '� � �_ _
Address:
250 BERMUDA BEACH DR, FORT PIERCE, FL, 34949
PIropertyTax ID #: 1425-70.1-0075-000-6 Lot No. 11
Slite Plan Name: FILOSA Block No. 4
I
Project Name-
tDETAILED DBCTRIPTION.OF WORK
_ .'
Supply and install 250 gallon underground LP tank with gas line to generator and final connect
l CONS 'R'UCTION AN
Additional work to be performed under this permit— check all -that apply:
I —Mechanical %" Gas Tank — Gas Piping — Shutters — Windows/Doors
Electric Plumbing —Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
(Cost of Construction: $ 2700.00 Utilities: —Sewer —Septic Building Height:
OWNERESSEE } ; .`
CONTRACTbR
NameAlexander Filosa
Name: Blake Cowdell
Address:840 Red Bug Lake RD, STE 475
Company: Energized Gas
City: Winter Springs State: TL,
Zip Code: 32708 Fax:
Phone No.4076191410
Address:4252 Bandy Blvd,
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone N07724661095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail energizedgenerators@gmail.com
State or County LicenseFL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTLON LIEN lAW INF'0RMATION
;DESIGNER/ENGINEER: _ Not Applicable
.Name:
!Address:
City: State:
;Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: .
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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
iIn 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 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."
Si&<ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sf, Lu6ie.
The forgoing instrument was acknowledged before me
this .4 day of July 20 19 by
alalte, Cavcbll
Name of person making statement.
Personally Known x_ _ OR Produced Identification
Type of Identification
Produced
(Signature of Notary P blic- St
;;►:y NICHOLE AP®NTE
Commission �;` _ MpAISS10t *04963031
' EXPIRES May 04, 2020
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF LVGr2
The forgoing instrument was acknowledged before me
this -ag— day of July 20_LJ by
BIaKG Cowell
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signat
^.' HICHOLE APONTE
Commis i iJON # FF945W)
EXPIRES May 04, 2020
'ut
7/SUE•C'S3
u
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
'VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.