The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r n —�}�jQ Date: 12/23/19 Permit Number: f qVG Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE:GAS PROPOSED IMPROVEMENT LOCATION: Address: 19701 KELLY RD Property Tax ID #: 2222-600-0006-000-2 Site Plan Name: MYERS Project Name: MYERS RECEIVED DEC 2 G 2619 Building Permit Application pertnitting Department St. Lucie Coonry Commercial Residential X DETAILED DESCRIPTION OF WORK: EXTERIOR LP GAS TANK AND LINES AND INTERIOR LP GAS LINES CONSTRUCTION INFORMATION: Lot No.6 Block No. Additional work to be performed under this permit— check all that apply: _Mechanical D�GasTank I%Gas Piping _Shutters _Windows/Doors _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4400 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameNathan Myers Name: Cheyenne Ellison Address:410 Emerald AVE Company: Elite Gas Contractors City: Fort Pierce State: _ Zip Code: 34945 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: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." A//L[aK r - Aotw= � Sipdfur f Owner/ Lessee/Contractor as Agent for Owner Sigh5iur6f Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF MLAr�Hvt COUNTY OF rYl Q The forgoin nst umentwasacknowledged before me The forgoing instr mentwas acknowledged afore me thisci day of 20 by Y this �dayof 2019by Gee-y,eyfvL.� CGreNehhe f,LQ�:sOs-, CXX�,SOVI Name of pdirson makiing/statement. Name of son making statement. Personally Known `/ OR Produced Identification Personally Knowny OR Produced Identification Type of Identification Type of Identification Produced Produced / Signature o ota Ignature'of N tary P .ys Notary Public State of Florida Commission No. +� Desireq.9 blilIntosh ;P.pa� •eN Notary Public State of Florida Commission No. Desiree N AdGlglgrttt Comm15s1 03399 y�L My Commission GG 283399 Oaw Expires 12/11/2022 @ 'yig pd' Expires 121112022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.