HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q q 7
Dater Permit Number:
SCANNED
BY
St. Lucie Coul
Building Permit Applic tion"Cl.C1V Cl,
Planning and Development Services MAR 1 8 .':
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 $T Lu ie oun ei
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMITTYPE: Gas
PROPOSED IMPROVEMENT LOCATION:
Address: 13316 NW Maplewood Rd
Property Tax ID #: 4426-815-0046-000-6
Site Plan Name:
Project Name:
Install 250 gallon LP tank to generator and final connect
-CONSTRUCTION' INFORMATION:
Lot No.
Block No.
Additional work to be perfor ed under this permit- check all that apply:
chanical P —Me( _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 2695.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE -
CONTRACTOR;
Name Elmer & Hilma Whipple
Name: Blake Cowdell
Address:13316 NW Maplewood Rd
Company: Energized Gas
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.772-336-0812
Address:4252 Bady Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone N0772-466-1095
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 LicenseFL34747
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
City:
ZiD:
FEE SIMPLE TITLE HOLDER:
MORTGAGE COMPANY:
Not Applicable
Address:
State: City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Address: Address:
City: City:
Zip: Phone: Zip: Pho
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."
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Sign'atn(e of Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Contractor/License Holder
STATE OF FLORIDA
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COUNTY OF (( `
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The oing inst n was cknowledg efore me
The fo oing ins r ment was a nowledg d efore me
this day of�� 20 by
this day of 20�b
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Name of person making statement.
Name of person making statement.
Personally Known OR Prod ce Identification
Personally Known OR Produc Identification
Type o nti ation
Type of ntif' ation
Prod ced
Pro du ed
(Signature o 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
COMPLETED
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July 12, 2022
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