HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t SCANNED Permit Number: �lL�
BY
St. LWe County D r
Building Permit Application
Planning and Development Services AU
ST. Lucie �
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:-(772) 462-1553 Fax: (772) 462-1578- - -Commercial - Residential XX -
PERMITTYPEIP Tank
PROPOSED IMPROVEMENT LOCATION _ " ' ` '
__ ..
Address: 749 SE Hidden River DR Port St Lucie, FL 34983
Property Tax ID #: 3427-701-0019-000-8
Site Plan Name:
Project Name: Hoffman
Install used 250 gallon underground LP tank with gas line to generator and final connect
CONSTRUCTION (NFORMATIONc a
f
Lot No.18
Block No. 1
Additional work to be perfor ed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,600.00 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE
CONTRACTOR '
NameLOUISE HOFFMAN
Name: Blake Cowdell
Address:749 SE Hidden River DR
Company: Energized Gas
City: Port ST Lucie Stater
Zip Code: 34983 Fax:
Phone No.
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
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 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.
SUPpLEMENTA,L CONSTRUCTION LIEN:
LAW IN -Q11 MATIONi
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 Count
yy 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 o der
STATE OF FL0 A� S
COUNTY OF �JC lit.
STATE OF FLORID w c�y
COUNTY OF
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The f r oing inst ument wa acknowledged before me
The Ing instr��r{ent was cknowledg�before me
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Name of person making statement.
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Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat e;v %f5;tary PuF EytHttEC>Jfi8PW66a )
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Commis ob1 PIRES: June 27, 2022(Seal
"FOF °: Bonded Thru Nofzry P blio UndeWdbOM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19