HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Nli—oor)o
Date: PermitNumber:
RECEIVED
Building Permit Application NOV 05.2018
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
Permitting Department
St. Lu ie aunty
Residential
PERMIT APPLICATION FOR:
Gas tank-
i b q'
P,ROPOSEDI(UIPROVEMENT
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LOCATION ,.e W
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Address: 13412 NW Wax Myrtle Trl
I
Legal Description: Harbour Ridge Plat No 1
I
Property Tax ID
Site Plan Name:
Project Name-1 Boyle
Setbacks Front Back:
Install 500
Ion LP tank to generator and final connect
EIHVAC Gas Tank
Electric 0 Plumbing
Total Sci Ft of (Construction:
Cost of Constrl ction: $ 3495.00
UGas Piping "Shutters
Sprinklers Generator
Sq. Ft. of First Floor: _
Utilities:Sewer ElSeptic
St Lucie County
#: 4436-601-0033-000-6 Lot No.33
Block No.
❑ Windows/Doors
Roof Roof pitch
Building Height:
01NNITR/LESSEE
,III a,`,s -
F C
y r
TOUR a � µ
NTRAC '
$� '
Name Richard &I
Denise Boyle
Name: Blake Cowdell
NW Wax Myrtle Trl
Address:13412
Company: Energized Gas
State: FL
Address: 4252 Bandy Blvd
City: Palm Cityl
Zip Code: 34990
Fax:
City: Fort Pierce State: FL
Phone No.
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
State or County License: FL34747
from the Owriler
listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
`S;UPPLEMEN1'ALCONaSTRUCTI(7N LIEN FLAaW
IN'FOR11%IATION�°
.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
State:
City: State:
City:
Zip:
Phone
Zip: Phone:
FEE SIMPLETITLEHOLDER:
_ 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.
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. Pleasb 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 vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa—TCire of Contractor/License Holder
STATE OF FLORIDA ) /
STATE OF FLORID
COUNTY O ; l l
COUNTY OF
The for oing instru �e t wa� ^acknowledg d efore me
of
The f r oing instr. men was acknowledged before me
day C� '
this day fJe� 20 y
of 20� b
�o
game of per�q'n making statement °9�, ,,
"""�
�D� N ame of p s n making statement
Personall Known _ OR Produced Identif'�ation
P sonailly Known OR Produced Identificatio =
Type o Ide 'fication 3 0 �;
e of Identi ' ation
Pro ce 0 3 o
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otary Public- State of Florida) N � G) o
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ignature oV0.
Comm issio No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17