HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
I
D
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
PERMIT TYPE: PROPANE GAS LIFE INSTALLATION
PROPOSED IMPROVEMENT LOCATION:
Address: 594 SE HIDDEN RIVER DR Port St Lucie, FL 34983
Property Tax ID M 3427-311-0002-000-9
Site Plan Name: LOT 1 BLK 2 HIDDEN RIVER ESTS
Project Name: LEWIS
DETAILED DESCRIPTION OF WORK:
Install gas line to new generator from existing propane tank
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
Lot No.1
Block No. 2
Mechanical _ Gas Tank Gas Piping _ Shutters Windows/Doors
_ Electric — Plumbing — Sprinklers — Generator _ hoof Pitch
Total Sq. Ft of Construction: _
Cast of Construction. $ 1225
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: Paul Draghi
Address:
Company; Paulie Propane & Natural Gas Systems
Address: 4100 SE Salemo Rd
City: State: _
Zip Code: Fax:
Phone No.
City: Stuart State: FL
Zip Code: 34997 Fax: 7722202618 —
Phone No 7722202616
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail Pauiiepropane@gmaii.com
State or County License 24441
If value of construction is 52500 or more, a RECORDED Notice of commencement is requires.
If value of MVAC 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: �T State:
Zip: Phone _---
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONGING 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-
[ 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 accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR RAYING
TWICE FOR MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED 0:7�E JOB SITE BEFORE THE FIRST INSPECTION. IF,XOU INTEND TO OBTAIN FINANCING, CONSULT
MIiI`H Vnll I FMnFP OR AN ji•1lTORNFY BEFORE RECORDING YOUIt NOTICE OF o&MENCEMENT."
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Signature of Oe Lessee/ ontra as A ent for Owner
Signatur o o ra or e Ider[
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