HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: OB (�• /% Iq• Permit NumG'V
S� �vM RECEIVED
St. Lucie couffly
Building Permit Ap
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
PERMIT TYPE: Gas
PROP_OSEgJKRROVEMENT LOCATION: Ati,
Address: 5060 Slash Pine Trail Fort Pierce, Florida, 34951
Property Tax ID #: 1418-213-0020-000-6
Site Plan Name: Sullivan Residence
Project Name: Sullivan Residence
JUN 17 2019
c 3tion Permitting ��uiny,
rtmeht
--St. Lucie FL
Residential
Lot No.
Block No.
Supply and install 250 gallon LP tank with Gas line to range, water heater, inside stub up for fireplace, outside stub up for future dire feature with final
connects and capped off stub ups.
[CONSTRUCTION INFORMATION:=`
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
'ySq. Ft. of First Floor:
Cost of Construction:-O- o iW0 . (�5 Utilities: —Sewer _Septic
-Windows/Doors
Roof Pitch
Building Height:
..OWNER%LESSEE; , -
CONTRACTOR: `
Name Kevin Sullivan
Name: Blake Cowdell
Address:5060 Slash Pine Trail
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.954-658-8327
Address:4252 Bandy Blvd
City: Fort Pierce State: FI
Zip Code: 34981 Fax: 7723186672
Phone No7724661095
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 Licensef134747
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
LIEN LAW INFORMATION:
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 1 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."
�EA6 % o ly
L
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
Signat a of Contractor/License Holder
STATE OF FLORIDA.,
STATE OF FLO
COUNTY OF >+W cl L
COUNTY OF —(
The f�°� going instr ent was acknowledged before me
�.
The fo oing instrument was acknowledged efore me
this iL day of 20L by
this T day of,- �� 20Vby
(ca�cP Cb"13c 1(
L [Cx�z CCA__4_)6C .1 I
Marne of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
•: :e •• VES
(Signature of Notary Pub +'' .` Flo 0 CALVES
(Signature of Notary Pub ` St p _F♦fffffi f MISSIONNGG232946
WOO MISSION q GG 232946
--• •a: EXPIRES: June 27, 2022
•��PpaFk°•`'•
¢S: June 27,2022
Commission No. •++ ..... P�' 11Mi4
ommission No. Bonded Public Ondenvmem
••.,,,,,,,•• Bond Thru olarKPubric Undewrl:era
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Key. 2/ 7/ 19