HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 , �T SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Applica ion NOV O 1 211
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPEIP Tank
PROPOSED IMPROVEMENT LOCATION '� ,,;`
Address: 33 Majestic WAY Hutchinson Island, FL 34949
Property Tax ID #: 1414-701-0114-000-8
Site Plan Name:
Project Name: Rosendahl
Supply 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:
O _Mechanical Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 3995.00
Sq. Ft. of First Floor:
Lot No.A
Block No. 13
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
'OWNER/LESSEE r
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CQ,NTRACT.OR
Name Linda Rosendahl
Name: Blake Cowdell
Address:33 Majestic WAY
Company: Energized Gas
City: Hutchinson Island State
Zip Code: 34949 Fax:
Phone No. 772-359-8328
Address :1786 SW Biltmore ST
City: Port ST Lucie State: FL
Zip Code: 34984 Fax: 7723186672
Phone No
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
It value of construction is 52500 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.
SUR,PL'E!V1 L CONSTRILIglo LIEN LAW`INFORMATION- .
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 bylaws that
rules, or and covenants 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 OFCOMMENCEMENT."
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Sigbfure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF cS} • Lu e t C'
COUNTY OF S / . Uc I P
The forgoing instrument was acknowledged before me
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Type of Identification
Type of Identification
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