HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�r
1'
All APPLICABLE INFpO� MUST BE Ct,,- 'LETED FOR APPLICATION TO BE ACCEP', ca'
` Date: —9— L 1 Permit Number:
SCANNED
NOW�! , BY r —
n St. Lucie Countv
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ✓ Residential
PERMITTYPE: Electrical
PRtJPOSEQ )MI?f;OVEMENT LOCATION
, , `
Address: 2909 South 25th Street Fort Pierce FL 34981
Property Tax ID #: 2420-441-0001-000-8
Site Plan Name: 2909 South 25th Street Holdings LLC
Project Name: Lake Forest Park Senior
furnish and install 2 generators
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank l� Gas Piping Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 251,000.00
Sq. Ft. of First Floor:
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name2909 South 25th Street Holdings LLC
Name: Michael Cornelius
Address:7501 Wisconsin Ave Suite 500 West
Company-Comelius Electirical Contractors
City: Bethesda, MD State:_
1Address!700'JG'rWfRd"-w -
City:.Pai' "bay'" ' ,- rr: ;` State: FL
Zip Code: 20814 Fax:
Phone No. 832-552-0630
'" 32909". , •,`, `'• . '.::;" ; r 321-574-5839
Zip`Code..,. Faz
Phone N021-6M4660-=--•:_:,, r
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail mike@corneliuselectric.com
State or County License EC13004359
from the Owner listed above)
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.
DESIGNER/ENGINEER:
xx 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 YAUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEAW-COMMENCEMENT."
Si nature of Owner/ Lessee/Contractor as Agent for Owner
Sighiature of Contractor/License Holder
STATE OF FLORIDA
u.
STATE OF FLORID
COUNTY OF �� Pam^
COUNTY OF L c e�a�d
r
The forgoing instrument was acknowledged before me
The f Kgoing instru�ent was acknowledged before me
this _day of 20_ by
this' day of J 1 20& by
or), i dvie 1 1 C p c l w_ I i LS
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
J� �C. ✓l�'J�t� ti
(Signature of Notary Public- State of Flo '!A{NG
(Sig ature of Notary Publi St a of Florida)
rG :: ~ t:S1v.14NA1NuRAT'•' 215060
Commission No. .��,•'+"•, `m6
5gXP1R�^1�a20.2022
r1�
Commission No. rF afI s l I- (Seal)
•
REVIEWS
FRON
ZONING
SUPERVISOR PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Notary Puelic State of Florida
?' Kim R Kolsifas
sc oT My eomn:lsslon FF 245914
V40F1 s EzPires 0810912019` = e
,0 r '�a
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: S� ) 1 \ Permit Number: \rig �lZ'_
— - - Building Permit Applicatio MAY 2 9 _019
Planning and Development Services
Building and Code Regulation Division MAY--F.
Lucie Co ty, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: Gas
PROPOSED IMPROVEMENT LOCATION: v =
Address: 2909 S 25th St
Property Tax ID #: 2420-441-0001-000-8
Site Plan Name:
Project Name:
Lot No.
Block No.
I'�DETAICED'DESCRIPTIOIV OF WORK': �`' `. �•` • ' '1
Run gas line from natural gas meter and final connect to generator 911 > \<1 W go 11<63
f
GONSTRUGTION INFOR'MA'TION.
Additional work to be performed under this Tit all that apply:
_Mechanical _Gas Tank �GasPiping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9404.42 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE; ' =' v
CONTRACTOR: --
Name2909 S 25th Street Holdings LLC - Lake Forest
Name: Blake Cowdell
Address:2909 S 25th St
Company: Energized Gas
City: Fort Pierce State: _
Zip Code: 34981 Fax:
Phone No.321-674-9667
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
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 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.
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 1 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 Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDAz::Z,_ \
STATE OF FLORIDn ?
COUNTY OF Yl �( Y} 1 P ,
COUNTY OF
The lbreoing instrument was acknowledgedbefore me
this day of 1 20 C by
6 � P () c�(�Cn�
The fgrgping instru t was cknowled le efore me
this k:•l-1'day of 20 by
Name of person making statement.
Name of person making statement.
Personally Known OR Pr odu �' Identification
Personally Known OR Produced Identification
Type of ntifcation
Type of Identificati
Produced
lyz
Prod e
(Signature of Notary Public- State of Florida)
(Si ature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
LYSSA BLACK
HEAR
RECEIVED
"w:6'
4> B
DATE
T
COMPLECQM
=_°
6,
=State m
Commission
sion -Notary P
# GG 237
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ry Public
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July 12, 2022 s
July 12, 2022 if