HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ANNNUFAIROWSAINOM
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: LP GAS
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 17700 WAGONWHEEL LN PORT ST LUCIE FL 34987
Property Tax ID #: 3211-701-0008-000-5 Lot No. 6
site Plan Name: CANTOR POWER/GUERRIO Block No.
Project Name: CANTOR POWER/GUERRIO
I DETAILED DESCRIPTION OF WORK: I
RUN 30' OF PE FROM EXISTING UG 500 GAL LP TANK TO GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank XGas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1495.00
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Diane Guerriero
Name: Tom Fite
Address: 17700 Wagonwheel Ln
Company: Ferrellgas
Address: 3232 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
city: Port St Lucie State: FL
Zip Code: 34987 Fax:
Phone No.
E-Maii:dlguerrier0@msn.com
Fill in fee simple Title Holder on next page ( If different
from the owner listed above)
E-Mau KimWilkins@ferrellgas.com
State or County License 31370
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
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
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which
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
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATWRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
SignaturOwner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
3rCl day September 202� by
this 3r0 day of September , 2020 by this of ,
Tom Fite Tom Fite
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification _ Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produ d Produc d
I �,1
V
(Signature of Notary .. (Sig ature of Not
KIMBER EYL WILKINS ;�:aw�?'ye• KIMBERLEY L, WILKINS
Commission No. FF - ' '.*"-_ MY CO'y �IONBrr"063105 Commission No. FF '- MY COdI�B W8 #rr 063105
28, 2021
EXPIRES:over.ber EXPIRES: Nover-.ber28,2021
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
RECEIVED 06/18/2020 04:29PM 772-287-3456 FERRELLGAS
Aug 182006:12p
za
Account Manager
772 219-2e56 ae9 nz 2e7.3450 fax
dor0k lo0fervel ai ccm
t;uiaomer
10 232936932
Diane Guenlaro DOW 08MWA20 Revised
1700 Wagon Wheat Lane lawchase Gas Line Only
Part St Lucie FL 34987
dloyenfem151msn M
Phone 9147654944
To Install:
Installation of new gas #ne to paitaretgr.
Eat Line up to 31Y of gas piping $ 435,W
Final Connect and 1 gullet
Regulators
Sub Total
Tax
Permit
TOTAL
$
225.00
$
3ae.ag
$
1,00D00
7,00% $ 30M
$ 425W
$ 4A9SOe
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$ 14.50
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• narialonametla a,,, path wtlrePuim ORaddawnl 3E vreOft far ProwwW 6 lb"MI n aaddbnal dwow
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mew "if MR WARNIN rar taA VON" Ilnea
• Famlras b nO rwponable wr pbmmad d Phi pdii M d apPlanwa.
• Fwmlgw le mtra.Pansi for damage h or mplavanki d hndauPYM, mneraRO ebewlMaaedecllui.
• CuNw is meponelbb ar gwvwing le", and mnve Own wl w a "n nay pea, apWanw war uw dpmpaM..
• Gene.wre an, w4 O ROAD a tle>ubw line w conned OR 9.
• Cuali nadir mu.tw approved pnu w mwnnnoi of anyvwk
• A,"Wing.dkad.1.1 bbnnp."Dai mob, a vial mob Onh relnan an addition claps.
• audYp drµa bwe w ba done by M. m.
• LrM.mmmd ROOM lndudas entnpdc Wateodon.
A.gib dep9st le dw upon eccepwai A 10%avF -w pa Wl apply.
Pls.w.lynayauMvenad La9n.tatir 9D"PMMdeoniracti aP ate,
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Customer SlgnattwIS C0 1eP�rL(Z Date:
Ferrelgas Signature; 11-- -- Date'
wwwwow.
Contact Information:
Penny Randall 861 746 4534 Ear29fitM-
Kim Wilkins 772 287 4330 Ex92257s:
Jane Conner 772 287 4330 Faet251(M