HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber.,��� 01��
t RECEIVED
Building Permit Applicatio i JAN 0 7 2019
Planning and Development Services ST. Lucie. County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Nk
PERMIT APPLICATION FOR: Gas tank
PROPOSED IMPROVEMENT
Address: 609 Winters Creek Rd
Legal Description: Harbour Ridge -Plat 20-
Property Tax ID #: 4422-810-0016-000-0
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side:
Install566 gallon LP tank to generator and final connect
awuundi wurrt w ue PeIIVTITIeU unuer uiu PennR—u
E1HVAC ✓Gas Tank ❑Gas Piping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2695.00
°emu
Lot No.6
Block No.
Left Side:
Shutters ❑ Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE;- 'tee'
CONTRAETOR_
Name Michael & Jean Sakele
Name: Blake Cowdell
Address:609 NW Winters Creek Rd
Company: Energized Gas
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-343-9123
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.
SUPPLEMfNTA CONSTRUCTION'LIEN=LAUf
WIFORIVIAlION
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Add ress: 4252 Bendy BNd
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 :Count
y 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
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
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Sign re of Owner/ Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA �i STATE OF FLORID , , 1^ ; Q
COUNTY OF � � (� _ COUNTY OF � �I' l,�A.dS._
The fQ going in tru ent was acknowledge efp�e me
this day of 20 y�t
Name of per on making statement
Personally Known OR Produced Identification
(Slrnature of
Commissid14
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
SSA BLACKSHEA
of Flodd4,tkgMfy Pub
My Commission Expires
July 12. 2022
The f 'going in tr ent was acknowledged-beII ,^fg1� me
this 1a)�
by
'
Name of pe;vrsqn making statement
Personally Known —4.OR Produced Identification
Type of Idgntifjpation
State'of
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ANGRO
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