HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ 1 `\ \ SCANNED Permit Number: VW- Od 1.
BY
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St. Lucie Coun v R—Fr FrtrCn
Building Permit ApillicafiMo 12019
Planning and Development Services ST. Lucie County, Pem
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIMPEIP Wank
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PROPOSEDIMP,RO�VEMENTiLOCATION,,, �, _r�3,,.,._? i y
Address: 3301 NW Turnabout LN Palm City, FL 34990
Property Tax ID #: 4436-510-0005-000-2
Lot No.1
Site Plan Name: Block No.
Project Name: Theodore N Tiemeyer
and install 500 gallon underground LP Tank with gas line to generator and final connect
Additional work to be performed under this permit— check all that apply:
_Mechanical XGas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ _I 19S Utilities: -Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE' �f iuf"^ jbl r� l,tx rxa;.
CQNTRACmoTOR
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NameTheodore N Tiemeyer
Name: Blake Cowdell
Address:3301 NW Turnabout LN
Company: Energized Gas
City: Palm City
Zip Code: 34990 Fax:
Phone N0.7723499595
Stater
Address:1786 SW Biltmore St
City: Port ST Lucie State: FL
Zip Code: 34984 Fax:
Phone N07724661095
E-Maik
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
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 INFORMATION:
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not A plicable
P
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
LLNUCK UK AM AI IUKWCT dCrUKC KCI.UKU1MU ■UUK NUIILC UK
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature
STATE OF FLORID��� STATE OF FLOR
COUNTY OF l I t.a �C _4 COUNTY OF �LA.•
The oing instru ent was acknowledg before me
this day of , 20 A by
`b1)at(_Ccw&Ie
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
REVIEWS
111171
MY COMMISSION # GG 232946
The forgoing instr ent as ac wledged before me
this ay of 20 '� by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Produced
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COUNNT TER TER I REVIEW SUPERVISOR REVIEWRE EW VEGETATION EVI WI S REVIEW MANGROVE