HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 24 14 Permit Number: I1 I 1 - o6OS
Building Permit Application Nov 3 0 7ot8
Planning and Development Services ST. Lucie Coun Pnrn
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
El-
OROPOSED"IMPROVEMENT L'OCATIION:
177trt I SCANNED
BY
Legal Description: Carlton Country Estates
Property Tax ID q: 3211-701-0009-000-2
Site Plan Name:
Project Name: DiFran-Carlton Estates- Williams
Setbacks Front Back:
Right Side: Left Side:
Lot No.7
Block No.
II DETAILED DESCRIPTION OF WORK
Install 500 gallon LP tank with (4) gaas drops to (2) water heaters, BBQ, generator and final connect
CONSTRUCTION-.JNFORMATION ,I -
tlona wor to a
EJHVAC
er orme under
Gas Tank
tIs permit—checka
Gas Piping
apply.
In _j Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
0 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S'c Ft. of First Floor:
Cost of Construction: $ 4995.00
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE: ,. ;. __ ..
CONTRACTOR:
Name Kenneth & Josephine Williams
Name: Blake Cowdell
Address:17701 Wagonwheel Ln
Company: Energized Gas
City: Fort Pierce State: FL
Zip Code: 34987 Fax:
Phone No.
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772318-6672
Phone No. 772466-1095
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 License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S JPPLEMENTALC'60T UCT1`ON
LIEN LA %fNFORMATION
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Ad d ress: 4252 Bendy Blvd
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 con, 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. f you intend to obtain financing, consult with lender or an attorney before
commencing work or recing vour Notice of Commencement. /1
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA k 1 � / 'n i D STATE OF FLORIDA I J / in ( e
COUNTY OF t Y�" 1 Il C_ COUNTY OF t �—f- Cal
The forgoing instrument was
this _ day of
Name of pe s makir
ly Known OR
statement
(Signature bf Notary Public- State of Florida )
Commission No
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
(Seal)
FRONT I ZONING
COUNTER REVIEW
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Name of pVrspn making statement
v Known X OR Produced Identificatior✓
Ha "m-o NQykuignature Or rvotary
w �MYYIj111
mmissi No.
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State
(Seal)
SUPERVISREVIEWOR I REVIEW PLANS I VEGETATIEV EWON I SEA REVIEW TURTLE
EVEWLE I M EVIEWVE