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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �2— Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: RECEIVED FEB 2 6 1010 Permitting Departm9nt Building Permit Application St. Lucie County Commercial Residential JL PERMITTYPE:GaS SCANNED RV PROPOSE© IMPROUEMIyT LOCATION 5 1iC1B.:n Address: tiuoo Adonidia ri Property Tax ID #: 3410-503-0344-000-5 Site Plan Name: Project Name: Install 250 gallon LP tank to generator and final connect CONSTRUCTIQiV=INFORMATION g Lot No.6 Block No. L Additional work to be perfo ed under this permit— check all that apply: chanical rG —Met _Gas Piping — _Shutters _Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: _ Cost of Construction: $ 2695.00. Sq. Ft. of First Floor: _ Utilities: _Sewer _Septic Building Height: Pitch O�NNER/LESSEE; CONTRACTOR: _ Name Sharon M Van Orden Name: Blake Cowdell Address:6055 Adonidia PI Company: Energized Gas City: Fort Pierce State: _ Zip Code: 34982 Fax: Phone No.772-466-0422 Address:4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No772-466-1095 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail EnergizedGenerators@gmail.com from the Owner listed above) State or County License FL34747 �. If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLE(VfEN'f"AL_CI N UCTIOIV'EIEN LAUD IIVFORII/IATION = ' DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City:_ _ _ State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 1 Y j Sig a of Owner/ Lessee/Contractor as Agent for Owner Signa of Contractor/Licens older STATE OF F ORIDA STATE OF FLORID COUNTY -) P COUNTY OF ��. l The ing ins�cument was acknowledged -before me TheEoringins nt was acknowledged efore me this�dayofY- 20 by thisdayoff�Sn�d��YTA Y, I Name of person making statement. Name cf person making statement. Personally Known OR Pr uced Identification Personally Known OR Prookrqed Identification Type I ifica n Type o dentificati Prod ce (iT6 Prod ce J (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE ;wJbe, ALYSSA BLACKSHEAR COMPLETED 3 ev. AL'fSSA BLACKSHEAR " =Coission # GG 237887 My Commission Expires a_Sr le ut Florida•Notary Public °%%P,„im° July 12, 2022 Comrnission # GG 237887