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BUILDING PERMIT APPLICATION
All APPLICABLE INFO aMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: A. 2 \' ` \ SCA1MI4E® Permit Number: © fq r r i �4. Lucie�onnf� RECEIVED Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE:GaS line PROPOSED IMPROVEMENT LOCATION: Address: 2021 Lynx Drive Property Tax ID #: 1425-620-0015-000-0 Site Plan Name: Schwarz Project Name: Schwarz I DETAILED DESCRIPTION OF WORK' Building Permit Applicatio AUG 21 2019 ST. Lucie County, Permitting Commercial Residential Supply and install underground gas line from existing LP tank to new generator Lot No.22 Block No. CONST,RUCTION'INFORMATION:' Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters ;Electric _ Plumbing _ Sprinklers _ Generator Tdtaj 5'q: Pt6f,Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 595.00 Utilities: —Sewer _Septic Windows/Doors Roof Pitch Building Height: OWNER/LESSEE:_ CONTRACTOR: - NameJohn Schwarz Name: Blake Cowdell Address:2021 Lynx Drive Company: Energized Gas City: Fort Pierce State: _ Zip Code: 34949 Fax: Phone No.772-467-9122 Address:4252 Bandy BLVD City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No772-466-1095 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail energizedgenerators@gmai.com State or County License FL34747 Ir value oT construction Is ;�Z!)tiU 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. Not Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone:_ MORTGAGE COMPANY: Name: _ Not Applicable Address: City: Zip: Phone: State: BONDING COMPANY: Name: _Not Applicable Address: C. UWNtR/ 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." Signaltrre of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder — STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Lurt4 COUNTY OF SJ, Luc If. The forgoing instrument was acknowledged before me this _Mday of Atjq VS+ . 2011 by �lake�ll Name of person making statement. Personally Known.. OR Produced Identification Type of Identification (Signature of Notary •� yct"" NICHOLE APONTE Commission No. _ t'e MY COMKfl&*N # FF9M31 E. , • EXPIRES May 04, 2020 The forgoing instrument was acknowledged before me this l day of ALJvS+ 2013 by :la�C�de/1 Name of person making statement. Personally Known _)< OR Produced Identification Type of Identification Produced (Signature of Notary P ' - �✓ NICHOLE APONTE Commission No. :R:'- - • - MY COMN # FF963031 A, ou I EXPIRES May 04, 2020 REVIEWS FRONT I ZONING SUPERVISOR I PLANS I VEGETATION SEATURTLE I MANGROVE COUNTER REVIEW REVIEW I REVIEW REVIEW I REVIEW REVIEW