HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/31/2020
Permit Number:
ST. LuCIE
COu NT�Y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: LP GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 9610 Orange Ave, Fort Pierce, FL 34945
Property Tax ID #: 2310-133-0001-000-4
Site Plan Name:
Project Name: York gas
DETAILED DESCRIPTION OF WORK:
Isntall 250g UG LP tank and lines to generator and final connect
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters — Windows/Doors
_ Electric _ Plumbing _ Sprinklers Generator Rnnf
Total Sq. Ft of Construction:
Cost of Construction: $ 875.00
Lot No.
Block No.
Sq. Ft. of First Floor:
Utilities: Sewer Septic Build'iH i' h
OWNER/LESSEE:-
NameTony York
Address:9610 Orange Ave
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No. 772-464-7638
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 2500 or mnro a Rrrnonrn hi-. .... _c
Pond
Pitch
CONTRACTOR:
Name: Manuel Tobar
Company:ThompsonGas, LLC
Address:1786 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone N0772-777-8133
E-Mail mtobar@thomspongas.com
State or County LicenseLG45341
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTA°L CO N STkb'CtI6k IEN L l / IN'FORMATION
,
DESIGNER/ENGINEER: Not Applicable
—
Name:
MORTGAGE COMPANY: Not Applicable
Address:
Name:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR oFFlnviT• A.,.,r..F:,,.
- — • APPI —a"on is "e:euy rndae 10 omam 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 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 or recording our Notice of Commencement.
SignaPuref Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/ -License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY 0FStLupe COUNTY OFStl.uaie
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 31 day of August 2020 by this 31 day of August 2020 by
Manuel Toabr Manuel Tobar
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature tary Pu (Signature of'N tary P
EMILYGALEN '°�''• E ILYGALEN
Commission No. tssasz MYCt¢ION#GG 165462 ? MYCOM
`' Commission No. tssasz =*: :•- SS�� #GG 165462
a= EXP ES: ecember5,2021 =;;, ; EXPIRe mber5,2021
..... Bonded T iru Notary Public Undenwu— f �F Fl 0' Bonded Thru Notary Public Utxlerwriters
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW