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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���aa Permit Number:
. 7-Perm
Building Permit Application.Planning and Development Services • Lucie C
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 7601 BAYARD ROAD FT. PIERCE, FL 34951
Property Tax ID#: 1302-810-0031-000-3 Lot No.4
Site Plan Name: HARTLAUB Block No. B
Project Name: HARTLAUB
DETAILED DESCRIPTION OF WORK:
INSTALL A 500 GALLON LP TANK AND GAS LINE TO GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical v Gas Tank V/Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2450.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name VICKIE HARTLAUB g Name:PAUL DRAGHI
Address:7601 BAYARD RD Company:PAULIE PROPANE&NATURAL GAS SYSTEMS,INC.
City: FT. PIERCE State:_ Address:4100 SE SALERNO RD 1I
Zip Code: 34951 Fax: City: STUART State:FL
Phone No. l /a ' I a' I Zip Code: 34997 Fax: 7722202618
E-Mail: Phone No 7722202616
Fill in fee simple Title Holder on next page if different E-Mail Paulie ro ane P P @9mail.com
from the Owner listed above) State or County License 24441
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 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
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TRICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O THE JOB SITE BEFORE THE FIRST INSPECTION. IF YO END TO OBTAIN FINANCING, CONSULT
WrIrH YOU DER QJR AN ATTORNEY BEFORE RECORDING YOUR 0OTVCE OF MMENCEMENT."
Signature of Owner/Lestoltont6ctor as Agent for Owner Signature Contra 'r/ se H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M A Q110 COUNTY OF °M A'�►I
The forgoing inst ument was acknowledged before me The forgoing instrument was acknowledged before me
this D day of 20'0 by this O day of �U_M J ,20 __Q by
Name of person making s'mfement. Name of person makings ement.
Personally Known OR Produced Identification Personally Known V/ OR Produced Id\���1A��
Type of Identification Type of Identification
ProducedProduced ��\�\\ GHERY(
\\\\Illlllllllll �?\ � ����Og%'sT0'y
LP
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(Signature of o Public-StatEif Q6"y VN: - (Signature of Not Public-State& o V� %4
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Commission No. �/ ,y(Segg� Commission N (� D�OD� %�GB.r5�Q,
q•�Zp°nded 1t��i���.y����� /���%�jl STA7E OF F�01k",
REVIEWS FRONT ZONI jB���IN.•..� ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
2/7/19i