HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1, �l Permit Number: i��1—OII3
C—
® Building Permit Application :RECEIVED
Planning and Development services 0 i 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lu
Y, r-armlc
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentla —
PERMIT APPLICATION FOR: Gas tank
-
PROPOSED; IMPROVEMENT
LOCATION:
Address: 7440 Bob O Link Way
Legal Description: Maidstone
Property Tax ID #: 3322-505-0044-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
".DETAIL-ED DESCRIPTION OF WORK:
Right Side: Left Side:
Run gas line to generator and final connect
CONSTRUCTibiONFORMATION:" _
11HVAC U Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 795.00
Piping "Shutters
nklers 11 Generator
_ S Ft. of First Floor: _
Utilities: Sewer o Septic
Lot No.35
Block No.
Windows/Doors
L1Roof = Roof pitch
Building Height:
OWNER/LESSEE:: _
CONTRACTOR:"
-
Name Anthony B Rebecca Strupeck
Name: Blake Cowdell
Address:7440 Bob O Link Way
Company: Energized Gas
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.612-839-9880
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 LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:- - - - - - - - - - - -
MORTGAGE COMPANY: _ Not Applicable
-Name:-- - -
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 4252 Bandy BWa
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, 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 your Notice of Commencement.
Sig u of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor/License Holder
STATE OF FLORIDA /+ ^ n
STATE OF FLORIDA,2� � ^
COUNTY OF c .1
COUNTY OF FYI'. a
The forgoing instrument was acknowledged before me
_,I
The forgoing instrument was acknowledged before me
this day of mh^., e ry 20m by
�C C rx,ax � II I 1
this P— day of Sam v. w y9 , 20by
�I �,Ic.Q 0 c)( - -r � I 1
Name of p r n making statement
Personally Known OR Produced Identification
Name of pets n making statement
Personally Known OR Produced Identification
Type de ification
Type o n f cation
Pro ce
Prod ed
(' a ure of
I' - a e of Florida)
(Signature of ai Public- State of Florida I
Commissio
Commissio No. YSSA B SHEAR
o;�,, ALYSSA BLtG�HEAR
:o °c'' Florida- oit'ery Public
?y 'c Commission M GG 237887
'�y'7o,11op� My Commission Expires
`,a`,"n'r�`_
�_Stete of Florida -Notary Public -
M
;;?mmiseion GG 237887
'M
July iz, 2
22 s 11
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATI
VE
COUNTER
REVIEW
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REVIEW
DATE
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DATE
COMPLETED
Rev.8/2/17