HomeMy WebLinkAboutBuilding permit appST LUCIE
AIIAPPLTCABTE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date.0911612020 Permit Number:
Building Perrnit Application
Planning and Develapment Services
Building ond Code fregutation Divisian COmmefCial
2304 Virginio Avenue, Fort Pierce FL 34982
Phone: (772| 452-L553 Fax: 177 21 462-LS7t
Residential x
Property Tax lD 6' 2236-700-0009-000-3 Lot No.7
Site Plan Name:Block No.
Project Name: Swain gas line
lnstall 25' of poly gas line from existing UG tank to generator
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
*Mechanical _ Gas Tank Gas Piping * Shutters _ WindowslDoors _ pond
_ Generator _ Roof pitch* Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction. g 795.00 Utilities: _ Sewer _ Septic Building Height:
PERMITAPPLICATION FOR:LP GAS LINE
Address: 16183 Carlton Adams Road, Fort Pierce, Florida 34945
phone Nq.772-807-8290
Fill in fee simple Title Holder on next page { if diffsrent
from the Owner listed above)
.16183 Carlton Adams Road
116n"1s; Manuel Tobar
Compa ny: ThompsonGas LLC
Address:1780 SW Biltmore St
ZiP Code: 34984
phone Ns772-777-8133
6- 1y1, 1 I mtobar@th om pson gas. com
State or County License!93?370
lf value of construction is 25fi) or more, a RECORDED Notice of Commencement is required,
lf value of HAVC is $Z5S or more. a RECORDED Notice of Commencement is required.
ffi
:,attiiaEit::iit1:tly
Nl6msWilliam Swain
City: Fort Pierce State: 0L
ZiP Code: 34945
p6.". 772-2A6-3606
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DESICNERIENGIIIIEER: _ Not Applicable
Name:
Address:
City:State:
zip:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State:
Zip: _ Phone:.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Add
City
Zip:
ress:
Phone:
BONDING COMPANY; _Not Applicable
Name:
Address:
City:.
zig: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 subiect structurewhich is in conflict with any a'pplicable Home Owfrers Asiociation rules, bylaws or and covenants that mav restrict 5r orohibit suchstructure. Please consult trritti your Home Owners Association and review your deed for any restriCtirrnjwfriih may adply.' - ---
ln consideration of the granting of this requested permi! 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 structuret swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
STATE OF FLORIDA
COUNf} Qf srr-ucie
Sworn to {or affirmed) and subscribed before me ofx Physical Presence or _ Online Notarization
STATE OF FLORIDA
COUNf} QSstt-ueie
Sworn to (or affirmed) and subscribed before me ofI Physical Presence or Online Notarization
Name of person making statement.
Type of ldentification
sj*td,of. rl orida ) EMILY GAIEN
,,.i' (S t.: MYCOMMISSION#GG 165462
iffi;.::i EX{&Ealpuce*ber s,2a2t
i''-. MYCoMMrsstoN # 6s 169462
# oiprnESBltembets,2ozl
Bonded Thru Nolary Publb Urdeh{dters
ZONING
REVIEW
SUPERVISOR
REVIEW
MANGROVE
REVIEW
Personally Known x OR Produced ldentification
Type of ldentification