HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^�
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® Building Permit Application PdFhlitting6t. Luei aDapart
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Planning and Development Services ty
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 j
IPROPOSEp IMPROVEMENT LOCATION;
Address: 2025 NW Laurel Oak Ln -RIAIG�
Legal Description: Harbour Ridge -Plat 6- Laurel Oak Village Unit 14 By
Lucie County
Property Tax ID 0: 4425-605-0047-000-5 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 500 gallon LP tank to generator and final connect
Block No.
AaZ cuvonalworl<too,,e�� e,,rrormea unaertnls permit—cneCx all apply:
0HVAC• Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3795.00 Utilities:] Sewer Septic Building Height:
OWN ERAESS EE
CONTRACTOR:
Name Barbara Barreca
Name: Blake Cowdell
Address: 2025 NW Laurel Oak Ln
Company: Energized Gas
City: Palm,City State: FL
Zip Code: 34990 Fax:
Phone No. 772-366-8533
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
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.
SUPPLEMENTAL CONSTRUCTION} LIENwLAW INFOR_MAT10N.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:'
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Add ress4252 Ba.dy BNa
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. 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, 1 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 your Notice of Commencement.
Signa Owner/ Lessee/Contractor as Agent for Owner
Signat a of Contractor/Licens older
STATE OF FLORIDA
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STATE OF ORIDA
COUNTY OF 1
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The forgoing instrument was acknowledge before me
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The forgoing instrument was acknowledged before me
his-21-day 00JA►Y1laC! 20by
this day of W 2010 by
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17