HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_n
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: Permit Number:
`. _s';:;j�":r;�,�,.w-=-.� SCANNED
BY IV w.
St. Lucie County RECENED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE: Gas
Address: 118 Queen Christina Ct
Property Tax ID #: 1414-702-0009-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 500 gallon LP tank to generator and final connect
Residential
Additional work to be perP med under this permit— check all that apply:
_Mechanical Vas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3500.00 Utilities: —Sewer _Septic
APR 2 21019
Ch I,"FP ran "n '
Lot No.1
Block No. 21
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David Hill
Name: Blake Cowdell
Address:118 Queen Christina Ct
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No.813-422-1420
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 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.
t-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: u
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:
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."
&CGSaI.ccT
//QJ c—A/Jl
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA Q \ l
STATE OF FLORIDA� n
_
COUNTY OF ��/ l L
1
COUNTY OF C
(�� A
The fcIr&oing instrpf er was cknowled efore me
The fpr oIn inst t was cknowled a efore me
this day ofTd�t/ t 20 b
th' ayy o%f� 20
\ /by� /J
Name of person making statement.
Name of person making statement.
lb
Personally Known OR P duced Identification
Personally Known OR Produced ntification
Type o d ti ati
Type of I tiff at
Produ ed
Produced
(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
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
ECEIVE
SHE
R
[DATEo",o,,.,o^
a��,;State of F
orida-Notary u;,.,,,m;ALYS
# GG 2378
7
,a°
q BLACKSHEAR
•OMPLE
._ Commis
ion
:State of
Florid -
ev. ; ?o, e,: MY om 12, 2022 "w a-Z I-oMmmission # GG 237887
y Commission Expires
July 12, 2022