Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APP ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n Date: G Permit Number: (1` / ice.. Building Permit Application SCAgN1NED Planning and Development Services St. LucieCounty —Building and Code- Regulation.Division___ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPEIP Tank 2RO0S(D�IfV1PR©VEMENTiLOCATION Address: 7816 SADDLEBROOK DR, PORT ST LUCIE, FL, 34986 Property Tax ID #: 3321-501-0005-000-8 Site Plan Name: Project Name: Beckham Lot No.5 Block No. Supply and install 500 gallon underground LP tank with gas line to generator, BBQ, water heater, fireplace and dryer and final connect Additional work to be performed under this permit —check all that apply: _Mechanical �GasTank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: Cost of Construction: $ 4009.00 Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: OWNED%LESSEE.`F ", �r yr*,za CONTR4CfOR, Name Gregory Beckham Name:Blake Cowdell Address:7816 Saddlebrook Dr Company: Energized Gas City: Port ST Lucie State: FL. Zip Code: 34986 Fax: Phone No. Address:4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: Phone N07724661095 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 INFQR'MATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Address:— _ City: _Address:_ 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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." e -K. & L ('0,6ea 14&& Sign re of Owner/ LLeAessee��/Contractor as Agent for Owner Signa ure of Contractor/License Holder STATE OF COUNTYOFO�{—WC.LA STATE OF FL COUNTYOFO i.UC_A& The f r ing instrument was acknowledged before me The or ping instrument was acknowledged before me N by this day of �S+- 20f� by thi day of , 20t Name of person making statement. Name of person making statement. Personally Known V OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced 7 Signatureo. p }tblic-6AdY@LhIQayM`j'ES (S 7¢f1Nl � �p¢j t#;Q(iPl®Bid ) tItt EXPIRES:June27,2022 ?'' MYCOMMISSION #GG232946 Co fri.,, Wb+u'��tm^�tJnte(vPublicUndomilta I) Commission .81 _.t: EXPIRES; June27( ,'tem '•�;,,(y,+' Sbndcd ThruNotgry Public nde REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19