HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1p•.2'I9 Permit Number: _I 'O(Q-0J5g3
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
[PERMITTYPEIP Tank
PROPOSED IMPROVEMENT LOCATION:
o`nimimau
gY RECEIVED
St. Lucie County JUN 2 5 2019
Building Permit Application ST. Lucie County, Permitting
Commercial Residential X
Address: 7006 Sebastian Rd, Lakewood Park, FL, 34951
Property Tax ID #: 1301-613-0307-000-1
Site Plan Name: Rolle
Project Name:
DETAILED DESCRIPTION OF WORK:
and install 250 gallon underground LP tank with gas line to generator and final connect
Lot No.8
Block No. 150
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
_ Gas Piping
_ Sprinklers
Cost of Construction: $ 'Al, /915S. CDC)
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTillman Rolle
Name:Blake Cowdell
Address:7006 Sebastian Rd
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-577-4104
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone N07724661096
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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: City
Zip: Phone: Zip:
COMPANY: _Not Applicable
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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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF_ 54. Lucie
COUNTY OF 5l• lucJG
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 4-q- day of 7unt 20'1 by
this.2L4 day of ?unt 20j_T by
/gww, Cowdcll
Cowdell
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known _X OR Produced Identification
Type of Identification
Type of Identification
Produced
/}
—fuzAyu, t�CAIA1LlR.
Produced
(Signature of Notary P
(Signature of Notary Publi
Flor dHOLE APONTE
NICH �^" •"• OLE APONTE
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° • MYA�MIy(ISSION# FF9630
Commission No. F
• i MY CC(MM*SION # FF963031
Commission No.
,c
' • S May 04, 2020
.,_ P° ••,.� EXPIRES May 04, 2020
11 l3 4'S3 noditN0W1yS014W. pn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19