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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: Ig O $ 059 BY St. Lucie County Rtveo Building Permit Application pur,.21161 Planning and Development Services Building and Code Regulation Division permitting Department St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPEIP Tank PROP©3ED IMPROVEMENT LOCATION Address: 116 Queen Catherina CT Hutchinson Island, FL 34949 Property Tax ID #: 1414-702-0016-000-4 Site Plan Name: Project Name: HOPPER Supply and install 500 gallon underground LP tank with gas line to generator and final connect Lot No. F Block No. 22 Additional work to be performed 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: Cost of Construction: $ 3795.00 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: 14 OWNER/LESSEErr' a CONTRACTOR e NameTerry Hopper Name: Blake Cowdell Address:116 Queen Catherina CT Company: Energized Gas City: Hutchinson Island Zip Code: 34949 Fax: Phone No.305-984-2791 State: ' L 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 LicenseFL34747 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. r SUPPLEMENTAL CONSTRUCTION' LIEN;LAW INFORMATION f 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 BONDING COMPANY: _Not Applicable Name: 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. 1 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." ENCEMENT." E�L 6A� Signature of Owner Lessee Contractor as g / . / gent far Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF A ,Lw, STATE OF FLQBI A COUNTY OF J A 5C n The or oing instr ment was acknowledged before me this ay of 20� by The r oing instr ment was acknowledged before me this ay of 20,6 by Name 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 (Sig r(ic _ rida) .''" �•'k;•, �, 1^'•".7h' , My COMMISSION0GO232946 Com ),siofLOaLc�� ,�7, 2022 (Sea; !E%s'3e BondedThru Noffiy Public Under3>dle.sSC3Un227, r: _ ® (Signati DANIELLE GON Commis _le MY COMMISSION ik GG 23$0.14ea1 202� %§bvd Bonded ThM Notary Public Underc.'rilers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/1/19