HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/22/20 Permit Number: 2005-0578
Mr. LSl"1�1]L$
Y Building Pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GAS PIPING
PROPOSED IMPROVEMENT LOCATION:
Address: 257 DIXIELAND DR UNITS 257-267
Property Tax ID #: 2427-801-0087-000-9
Site Plan Name:
Project Name:
INSTALL GAS PIPING FOR NEW GENERATORS FOR 10 IDENTICAL UNITS.
New Electrical Meter Second Electrical Mete
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 2400.00
Sq. Ft. of First Floor:
Residential X
Lot No.
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OLEANDER PROPERTIES DIXIELAND LLC
Name:CHRIS JOHNSON
Address: 5900 SILVER OAK DR.
Company: CNJ PLUMBING LLC.
City: FT. PIERCE State: _
Zip Code: 34982. Fax:
Phone No. 772-828-0887
Address:1701 S. 37TH ST.
City: FT. PIERCE State: FL
Zip Code: 34947 Fax:
Phone No 772-801-3073
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CHRISJOHNSON@FPUA.COM
State or County License 30950
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/22120 Permit Number: ax)s ps I
07. L�IQo�
° Building Permit Application J6 �O
ro
Planning and Development Services Ps ky' OI1p10
Building and Code Regulation Division Commercial Residential A;'9O0
2300 Virginia Avenue, Fort Pierce FL 34982 0
4on, e
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GAS PIPING I
PROPOSED IMPROVEMENT LOCATION:
Address: 257 DIXIELAND DR .9:�7 of
Property Tax ID #: 2427-801-0087-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL GAS PIPING FOR NEW GENERATORS FOR EACH UNIT.
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 500.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OLEANDER PROPERTIES DIXIELAND LLC
Name: CHRIS JOHNSON
Address: 5900 SILVER OAK DR.
Company: CNJ PLUMBING LLC.
City: FT. PIERCE State: _
Zip Code: 34982 Fax:
Phone No. 772-828-0887
Address:1701 S. 37TH ST.
City: FT. PIERCE State: FL
Zip Code: 34947 Fax:
Phone No 772-801-3073
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CHRISJOHNSON@FPUA.COM
State or County License 30950
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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 Countty� 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lendepAr an attorney before Aommencing work or recording yojW Notice of Commencement.
-W�
Signature of Owner/ Lessee/ConiKactor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA.STATE
OF FLORIDA
COUNTY OF LuriL
COUNTY OF ,rj j- LL1 c _— e_
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or— Online Notarization
Swor to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this L day of SU n C , 2020 by
0! hr t S n .�
this I day of SLj ei e . , 2020 by
C��T3 mX ;
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
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(Signature of Notary Pu lic- t to of Florida)
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(Signature of Notary Public- Stat Florida)
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