HomeMy WebLinkAboutBuilding Permit ApplicationII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (� 6 oRG
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
PERMIT TYPE: G R5 (_il.�e
PROPOSED IMPROVEMENT LOCATION:
Residential x
Address: 13405 NW Wax Myrtle Trail
Property Tax ID #: 4436-601-0003-000-7 Lot No. 3
Site Plan Name: Galvin Block No.
Project Name: Galvin
DETAILED DESCRIPTION OF WORK: I
Install gas line to range and BBQ
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank Vrm�GasPiping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1250.00
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE`.
CONTRACTOR:
Name Willard Galvin Jr
Name: Paul Draghi
Address:13405 NW Wax Myrtle TRL
Company: Paulie Propane & Natural Gas Systems
City: Palm City State: FL.
Zip Code: 34990 Fax:
Phone No.
Address:4100 SE Salemo Rd
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772/220-2616
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pauliepropane@gmaii.com
State or County License24444' ? 5 CDcr_%_
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.
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 TITLEHOLDER: _ 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
yTO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR
,AMPROVEM
WITH YO NDER,ORED AND
POSTED QW. VUH JOB � ATTORREY BEFORE FIRST RECORDING EO &NOTICEINTEND
F COMMENCEMENT."
G,RCONSULT
Ad
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Signature of O e Lessee/ ractor s Agent for Owner
Signatur of Contractor/ n Hober
STATE OF FLORIDA
STATE F FLORIDA
COUNTYOF Iri1 IA Mlt.)
COUNTY OF rA R.TIIJ
The forgoing instrument was acknowledged before me
thisdayof 20,30 by
The forgoing inst ument was acknowledged before me
this day ofl � MV-rk 2 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
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REVIEWS
FRONT
ZOO 41C.S
�VIS0R
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEWIIIIIII
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19