HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (y
Date: 12/23/19 Permit Number: �l I �� ��Iq
Ply" 1ti _ O.t'n NO
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462.1553 Fax: (772) 462-1578
1p9
Building Permit Applicatior��'r4�
n� 0P t
ti
Commercial Residential X
PERMITTYPE: LP Gas- Residential
PROROSED`IMPROVE MENT•LOCATION. 7273`S•Ihdjan'River.Dr. Fort Pierce, FL''34982 ..
Address: 7273 S Indian River Dr, Fort Pierce, FL 34982
Property Tax ID q: 3507-332-0003-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Lanza
TIOWOFWORK:-. •. _
" ug PE, tee in 88' of of 1/2" PE; tie into existinci CSST
and connect
CONSTRUCTION JNFORMATION
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank XGasPiping_Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers, _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1750.48
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:'.,,CONTRACTOR:
.
Name John T. Lanza
Name: Tom Fite
Address: 7273 S Indian River Dr.
Company: Ferrellgas
city: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.772-201-1130
Address: 3232 SE Dixie Hwy
city: Stuart state: FL
zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-mail: gking823@yahoo.com
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mall KimVVilkins@ferrellgas.com
state or county License 31370
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.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: 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
All*
"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
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF Martin COUNTY OF Martin
The forgoing instr ent was acknowledged before me The f rgoing inst men was acknowledge before me
this � day of VOUPmWy 204 by this, day of 1� 201� by
Tom Fite Tom Fite
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known V! OR Produced Identification
Type oflidentification 1\ Type of Identification A
(Signature of NotarylPdblic - nature of NotartlPNblic-
lV/ •��"s,N". KIMBERLEY L. WILKINS V
Commission No. FF0631�f�QMMISSION #FF06315Co mission No.FF06311
EXPIjRyES: November 28,20 t
'•:fo1v;°•• Bonded Tin Notary Public Underm lets
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
r IICERLNS
• Y�� MIS631
5
-::r+!�?�'•.
'.a EXPIRES: N202
on
oe
le
acn ivniu rv, n,vvnvvc
REVIEW IREVIEW