HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� I
Date: f'� Permit Number:
SCANNED
=r BY
® tin St. Lucie County
Building Permit Application CE`\JF
Planning and Development Services Apg 0.8 1�18
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Perm�tttn,E1e
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ReSicler?haL/
PERMITTYPE: Gas
PROPOSED IMPROVEM,ENT-LOCATIONt
Address: 9433 Poinciana Ct
Property Tax ID #: 1334-503-0040-000-5
Site Plan Name:
Project Name:
DETAILED DE
Install oas line to
N OF WORK:`"
and final conn'eit
r:
Lot No.38
Block No.
;,,,
Additional work to be perf ed under this permit— check all that apply:
chanical G Meas Tank _ X Gas Piping _ Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 795.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James & Lynne Avrett
Name: Blake Cowdell
Address:9433 Poinciana Ct
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-464-8459
Address:4252 Bandy 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 License FL34747
n vame or construction is pGbou or more, a KhCURUED Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
--
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
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_"
as Agent for Owner
STATE OF FLORIDA p I STATE OF FLORIDA L n
COUNTY OF ( ,( ( COUNTY OF }d—_
T
g instr n was nowledg before me Th r ing inst,bry� �t a knowledg� efore me
a of 20 b thi day f 1 20�
GY , �lA �I I `� y �y
Name of person making statement. Name of person making statement.
Person ly Known OR Produced Identification Personally Known OR Produced Ident n
Type f I tifica 'o Type of Id 'fi io
Pro ce Produce
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(Signature of Notary Public- State of Florida (Signature o otary 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
of Florida -Notary Public io�"�ac,� v,LYS;
mission R GG 237RA7 11 State of