HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06-13-2020 Permit Number:
O
' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Florida Gas Transmission Co.
PROPOSED IMPROVEMENT LOCATION: 8701 orange Ave, Ft. Pierce, FL 34945
Address: 8701 Orange Ave, Ft. Pierce, FL 34945
Property Tax ID #: 2311-320-0000-000-4
Site Plan Name: Florida Gas Transmission Co.
Project Name: Re -Roof
DETAILED DESCRIPTION OF WORK:
Re -roof with insulation.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3000
Cost of Construction: $ 12,000.0
Generator
Sq. Ft. of First Floor:
Windows/Doors
X Roof
Lot No.
Block No.
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE: Florida Gas Transmission Co.
CONTRACTOR: Walker Design & Construction
Name John Keirs
Name: Patrick Graham
Address: 8701 Orange Ave
Company: Walker Design and Construction
P Y�
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (561) 517-3751
Address: 2723 Pinewood Ave
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No (989) 295-0539
E-Mail: lohn.keirs@energytransfer.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Pat(ck@walkerdc.com
State or County License CGC1528883
If value of construction is 2500 or more, a RECORDED Notice of 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: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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
is
which 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 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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work orrecording4ourNotifeof Commencement.
Si Owner essee/Contractor as Agent for Owner
Signa ure of Contrac or License Holder
=aturef
FLOR�DA
STATE OF FLORIIDA
COU NTY OF a bNn i-A-p a cA
COUNTY OF 4 C' i m K32Gsf i
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
Physical Presence or_ Online Notarization
this _ day of 2020 by
this _ day of , 2020 by
�IMa k1 (S
�al (rc V r.trtln(hy✓L
Name of person making statement.
Name of person making statement.
Personally Known_ OR Produced Identification
Personally Known k OR Produced Identification
Type of Identification
Produced
Type of Identification
dd
Lauren TravARuce
- Trava•ll
aaol�YAsso�
,��c t Lauren
FLORIDANOIARYPUBLIC
(MOTARYPUIL
O 1i
(S gn re of Notary Public- State of Florid -'2 = a Comm# G
§h9ture of Notary Public- State of Flor �' STATE OF F
• 7 E 19�� Expires
Commission No. 69(9bZ u6so (Seal)
/22/2023 o _ i ,- a Comm# GG9
Commission No. Expires 4t2
1
1 I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS I VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev—ri — ---- -----
)A
23