HomeMy WebLinkAboutPERMIT APP - 1515 NW LANCEWOOD TERRAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/29/20 Permit Number:
COUNTY 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_
PERMIT TYPE: GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 1515 NW LANCEWOOD TER
Property Tax ID #:4426-803-0017-000-7
Site Plan Name: DECHIARO
Project Name: DECHIARO
DETAILED DESCRIPTION OF WORK:
EXTERIOR LP GAS TANK AND LINES
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Q(Gas Tank
_ Plumbing
Total Sq. Ft of Construction:.
Cost of Construction: $ 5300
lw�Gas Piping
_ Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor: _
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: -Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameThomas Dechiaro (LF EST)
Name: Cheyenne Ellison
Address: 1515 Lancewood TER
Company: Elite Gas Contractors
City: Palm City State: _
Zip Code: 34990 Fax:(772)220-1829
Phone No. (772)220-9678
Address:2130 Poma Drive
City: Palm City State: FL
Zip Code: 34990 Fax: (772)220-1829
Phone No(772)220-9678
E-Mail:emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailemcintosh@elitegasco.com
State or County License 18361
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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTY OF J oA a + n—
Address:
The forgoing instrument was acknowledged before me
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Type of Identification
Address:
Produced
City:
City:
clic-N�fif,IFd
Desiree N McIntosh
Zip: Phone:
Commission No • Y My Commission OCnMp399
Zip: Phone:
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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 Court makes no representation that is granting a permit will authorize the permit holder to build the subject structure
stru
structure. Please conWict sth ult with pyoiur Hle Home Owners ome Owners Association tion andrreviewylaws or your deed for any covenants
s which may arestrict or pply. such
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
�rnnrnor• vn"R Nnnrr nF rnmmFNrFMFNT "
WITH TUU1C LEMWER VK n Awr 1ancnc1
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Si Lure o Owner/ L ssee/Contractor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF AA A A -_
COUNTY OF J oA a + n—
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
This 0 day of J 20,�ObY
r 1tir�.,,n In P JC C�t�Yk
this day of 20a0y
w
Name of rson making statement.
Name of rson making atement.
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
P duced
Produced
(Si ure o f�Raof Florida
(Signature of
clic-N�fif,IFd
Desiree N McIntosh
Notary Public State of Flontla
Commission No • Y My Commission OCnMp399
Commission No Desiree N Mclnt(t59al)
amrn,ssion GG
uew xpi 12/1120 2
r, y 283399
?0i Expires 12/11/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19