HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��
Datg: Permit Number:
SCANNED Q ��adoJ
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�- - Building Permit Application �
Planning and Development Services
Building and Lode Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553_ Fax: (772) 462-1-578- Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7982 Steeplechase court, Port Saint Lucie Florida 34986
Property Tax ID #: 3321-502-0067-000-3
Site Plan Name: Fogleman
Project Name: Fogleman
Lot No.118
Block No.
L-DETAILED. DESCRIPTION OF`WORK: -I
and install 500 gallon Lp tank with gas lines to 6 drops
CONSTRUCTION..INEORMAT.ION:
Additional work to be performed under this per it- check all that apply:
_Mechanical _Gas Tank as Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: // f
Cost of Construction: $ 6 4 L? , o
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
,,OWNER/LESSEEr
CONTRACTOR: _
NameJohn Fogleman
Name: Blake Cowdell
Address:7982 Steeplechase CT
Company: Energized Gas
City: Port Saint Lucie State: _
Zip Code: 34952 Fax:
Phone N0.772-210-5438
Address:1786 SW Biltmore Street
City: Port Saint Lucie State: FI
Zip Code: 34984 Fax: 772-318-6672
Phone N0772-466-1095
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 LG34747
it 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
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 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."
K" .C.(/l
1F e1 1
Sign re f Owner/ Lessee tractor as Agent for Owner
Signature of Contractor/ tense Holder
STATE OF FLORIDA
STATE OF FLARIDA
COUNTY OF
COUNTY OF_3 l C II
The r oing inst ment w s acknowledged before me
this ay ofI 20� by
The f r oing instrument was acknowledged, before me
this day of S11 .Y, 201i by
QiG��(° Cc�wc9eU
Rcke CC,)cxA1
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
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(Signature o oEg�6-PU, lic- "IELtE,FWNOALyES
(Signature of - '
WC OMMISSION # GO 232946
__
DANIELLE GONCANES
•
Commission i•: S:Junep90;?2
Commission ;g• YCOMMISSION#�48
•'.;i':�:;°•"• 9oMeE 7tw Not2iYWbAe OrMewdulm
"- io EXPIRES: June ,2
1�'�'t'•`T•'?:` ^Y�+.-+Fabfic Umauthas
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/i/19