HomeMy WebLinkAboutMiller gas app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
SaT�� L uLEC
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: LP TANK
PROPOSED IMPROVEMENT LOCATION:
Address: 7301 Santa Barbara Dr, Ft Pierce, FL, 34951
Property Tax I #: 1301-601-0045-000-9
Site Plan Name:
Project Name: Miller tank
DETAILED DESCRIPTION OF WORK:
install 500 gallon underground LP tank with gas line to generator and final connect
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Z Gas Tank _ Gas Piping Shutters
Electric — Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4295.00
Sq. Ft. of First Floor:
Lot No.14
Block No. 4
Windows/Doors Pond
Roof Pitch
Utilities: T Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoseph Miller
Name: �� r
Address:7301 Santa Barbara Dr
Company:- ' "NQ;
City: Ft Pierce State:
Zip Code: 34951 Fax: _
Phone No.7729712188
Address:1786 SW Bi tmore St
City_ Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone N07727778133
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
I
►r Walue ar constru"ron 15 ZSUU Or more, a HtL:Ut LM) Nonce at 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 MORTGAGE COMPANY: Nat 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:
Add Tess: 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 wilt, 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 con currency 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 jobs ite before the first inspection. If you intend to obtain financing, consult
with lender or an atto rney before com rn en ci ng work or reCGrd i ing your Notice of Commencement.
le
ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY Gvc�'Q
STATE OF FLORIDA
OF
COUNTY OF —Ivci e
Sworn
Sworn to (or affirmed) and subscribed before me of
ti
Sworn to (or affirmed) and subscribed before -me of
Physical Presence or Online Notarization
k Physical Presence or Online Notarization
this 14'- day of 75-p ne- . 2020 by
this I Sr day of Svrx e_ , 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known LY OR Produced Identification
Personally Known V. OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced —
(Sig ure of Not
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Notary Pub4c State of Florida
' NoUry Pubk State of FWkU
Commission No. inmes W C AI
Commission N James W Cmvd� �a
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REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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*'Treasure Coast 772-466-1095. 4252 Bandy Blvd. Dort fierce, Fl- z4981, Fax 772 18-6672*
"Palm Beach 561-752-0214, 1700 Latham Rd. Suite 2, West Palm Beach. FL, 3. 409�:
Proposal 1 Agreement
Joe Miller
7301 Santa Barbara
Fort Pierce, FL, 34951
772-971-2188
J M W oodca rve r(cba ❑l . com
1) Thompson Gas to supply and install (1) customer owned 500 gallon
underground LP Tank with gas line to generator and final connec
2) Obtain all permits & inspections needed
3) Price includes backfilling and removing dirt
4) Price does NOT include filling the tank with propane
NOTE; Tank and line to be installed by Thompson Gas
141h1 2020
Fbr the cunt of; Sd.2q.;.00I