HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:IRA I
Permit Number:
1�
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-._ - Building Permit Applicat on DEC 12 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: &IC6
PROPOSED IMPROVEMENT.LOCATION:.• {,
Address: 1)(-�)U`t � _l Aa I t
PropertyTaxlD#:�-13A
Site Plan Namel:� n 1 I /�
Project Name: Y 1W f I I l��)
- -01C)-
Lot No.��
Block No.
�i'+/YLIf•TM1I1/`-f,f1G� d41 rIlM11�'II I�T1111. i.AA
. e a
Additional work to be performed under this permit -check all that apply:
_Mechanical was Tank ! Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:: 2 Sq. Ft. of First Floor:
[
Cost of Construction: $ — ) Utilities: —Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
.
OVI/N,ER LESSEE•... ...,CONTRACTOR...,,
;
Name
'n•-
Name: LarryLicastri
Address
Company:AmeriGas
�r
e, City: T e2 L
State:
Zip Code: �U Nl O Fax:
Phone No.
Address:3301 Oleander Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-465-8448
Phone n� --igg LP
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
,No
oyf-e6 as -
State or County License 02707/28579
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
Name:
Address:
City: State: _
Zip: Phone
MORTGAGE COMPANY: . _ Not Applicable
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
Name:
Address:
City:
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
WAR W Your failure to Record a Notice of C
Xlecled
ult in your paying twice for
WAR
your p erty. A Notice of Commence a posted on the jobsite
be re the fi Inspection. you intend to obtain financder or a attorney before
cor1Q n ' w r record ne vour Notice of
Sig re of Owne Lessee/Contractor as Agent for Owner
Signa u e oJConl ctor/License Holder
STATE OF D
STATE ODA
COUNTY OF �� L�—Q to
COUNTY OF U Kv
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 11 dayof.tmgs--!`C Y— .201a by
this u day of or bellI .200 by,
v I�CC�S�r1
L�S�-t-N
Name of person making statement
Name of person making statement
Personally Known i_ OR Produced Identification
Personally Known=TypeofIden
tification
Type ofldentificatublic State ofFlcneaPfOdUce
r'a� Notary Public State ofFloriEe
ProducedMBoore
ngela M 800re
My Commission GG 190609
ommission GG 190609
Expires 022712D22
orw Expires 02(2712022
T
(Signature of Notary Public -State of Florida)
(Signature of Notary Public- State of Florida )
Commission (Seal)
Commission NoQ)Q",k n rZ0(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17