HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �S 1 \q Permit Number: �--
.-LA _ - _ MAR 0 5 2019
Building Permit Applicat a-LucieCe__ uerfl
Planning and Development Services
Building and Code Regulation Division ^
2300 Virginia Avenue, Fort Pierce FL 34982 i/\Y`./\1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _0
PERMIT TYPE: Gas SCANNED
PROPOSEDIMPROVEIVIENT LOCATION:c
Haaress•
PropertyTaxlD #: 2333-601-0001-000-1
Site Plan Name:
Project Name:
Install 500 gallon LP tank to generator and final connect
CONSTRUCTIOfV 1NFO.RIVI'AT.ION ;
Additional work to be performed under this permit— check all that apply:
_Mechanical OGasTank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 4100.00 Utilities: _ Sewer _ Septic
Lot No.1
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNERJLESSEE .`, _ , LL
CONTRACTOR ;
Name Dolores & Adam Troska
Name: Blake Cowdell
Address:12050 Twin Creeks Dr
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.772-468-6605
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
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LtEN,LAW INFORMATION:,-
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:
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: roam 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:'
Si e o Owner/ Lessee Contractor as Agent for Owner
Signa tire of Contractor/License Holder
STATE OF FLORIDA O
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Name of person making statement.
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Name of person making statement.
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OR Pro ed Identification
Personally Known —)—
Personally Known OR Produc I entification
Type I ent' icati
Type of tifi tion
Prod ce
Produ d
(Signat o otary Pub ic- State of Florida)
(Signa re o 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
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BLACKSHE A
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COMPILE ,
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Rev. 2/711�I:;�%�/� �,��?\t';State of Florida -Notary Publi
0= Commission N GG 237887
'; ),l00 Do� My Commission Expires
%.w 19 9n99
Commission N GG 237887
My Commission Expires
July 12, 2022