HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPL D FN TO Bi ACCEPTED
Date: 3/4/2020 Permit Number:
MAR 0 4 2070
ST. Lucie County,Permitting
—• — — 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 X
PERMITTYPE: LP Tank & Lines
PROPOSED IMPROVEMENT LOCATION:
Address: 7407 Paso Robles Blvd
Property Tax ID p:1301-607-0074-000-9
Site Plan Name: Lakewood Park
Project Name: Pike Residence
DETAILED DESCRIPTION OF WORK:
Install 500 gallon underground LP tank with exterior/underground gas piping
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
ZasTank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $ 2,000.00
ZGas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Lot No.25
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamePike, Mar & Doreen
Name: Brian M. Critoph
Address:7407 Paso Robles Blvd
Company:C&C Diversified Services
City: Ft Pierce, FL State: _
Zip Code: 34951 Fax:
Phone No.772-464-9195
Address:7954 SW Jack James Drive
City: Stuart State: FL
Zip Code: 34997 Fax: 772-266-4679
Phone N0772-266-4680
E-Mail:snookpike@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail James@ccdiversifiedgas.com
State or County License L121079
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 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."
0
Signature of Owner/ L ssee/Contractor as Agent for Owner
Signature of Contractortticense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Mann
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 4 day of March 2�6/ by
this 4 day of March 2Q7� by
Brian M. Critoph
Brian M. Critoph
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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