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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: \—aT�\`\ SCANNED Permit Number: BY St. Lucie CountyT ,�r.;�, D ------- - Building Permit Applic tionou( 00 [uid Planning and Development Services ST. wgw Squ nEYr P4rrnik4lnF Building and Code Regulation Division-. _ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓ PERMITTYPE:GaS Address: Property Tax ID #: Site Plan Name: Project Name: KICA-X Cg6es CONSTRUCTION INFORfVIATION = Lot No. Block No. Additional work to be performed under this permit- check all that apply: _Mechanical kGas Tank _Gas Piping _Shutters _Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: uv Cost of Construction: $ S Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: IOWNER/LESSEE _; ,, ��C_ONtTR'ACT©R _' Name '17e—bec,. Fl4I( Name Blake Cowdell Address: O 6 {q --Pu� �n'K-fJSz R C) Company: Energized Gas _Jf ss City: YDr+ 5k-C-UecI-e- State:_ Zip Code: '5(o Fax: Phone No. Address: 1786BiltmoreStreet City: Port Saint Lucie State: FL Zip Code: 34984 Fax: 7723186672 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@gmail.com State or County LicenseLG34747 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. c� M SUPPLEMENTAL CONSTRUCTION LIEN LAW INF I QRMATIQ_N '- 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. 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." Signature of�sseeractor as Agent for Owner Signature-ofn�se Holder STATE OF FLOW4tA_) STATECIFFLORID � lCOUNTYOF COUNTY OF�A)C1� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this RLndayof y�hp - .20, by Nu�,e thisj&dayofU±DbeX 20A by axA&P« &a\,e r_rl y_k 11 Name of person making statement. Name of person making statement. N' Personally Known OR Produced Identification Personally Known ` OR Produced Identification Type of Identification Type of Identification Produced Produced i . MVCOMMISSION4GG232946 No.4jXMRSS eal) ) eal) �rA! .f.'S•"•" DANIELLEOONCALVES jP"" °" COMMIS$IONNGG232946 Cgt131ni ril5ld!'0' "•,?ono?: BoMr.A ihv Notary Pu66c Undenmlan — t.l •;;•'F: : une 2T.3022 '•:fea ygq: 8oMedflwNo1MPubk UMM&WM a REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev,