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HomeMy WebLinkAboutBuilding permit apprlication , page 1UFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit N-umber: 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 ___ ______ Residential X PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: 62 MEDITERRANEAN BLVD PT. ST. LUCIE, FL Property Tax ID #: 3426-500-0941-000-0 Site Plan Name: JUSTIS Project Name: JUSTIS DETAILED DESCRIPTION OF WORK: Install a 500 gallon LP tank underground and gas line to a generator CONSTRUCTION INFORMATION: Lot No.__ Block No. Additional work to be performed under this permit —check all that apply: _Mechanical ILGasTank i�Gas Piping — Shutters Windows/Doors Electric Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: e' +..Flnr,ctrr,rtinn 'a66-0 ' Sq. Ft. of First Floor: _ Utilities: —Sewer _ Septic Building Height: OW N ERAESSEE: CONTRACTOR: Name Edward Justis Name: Paulie Draghi Company: Paulie Propane@ Natural Gas Systems, Inc Address: 62 Mediterranean BLVD Address:4100 SE Salerno Rd City: Pt. St. Lucie State: FL Zip Code: <i 9I50�t Fax: Phone Na._.,_I_ ; G -LV 1 1 City: Stuart State: FL Zip Code: 34997 Fax: Phone No ) J ©_ u I E-Mail: E-Mailer lk i W � °�A'"n'� Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License 24441 if value of construction is �izsuu or more, a ttr-w.vr%uru 1mut- .v U. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. FSUPPL€MENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not App Name:_ Address: City: _ Zip: Phon FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ State Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable 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 "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FO 1 ROYEMENTS TO YOUR PROPERTY. A NOTICE OF MMENCEMENT MUST BE RECORDED AND WITH YO R E R OR AN_AJrTORNEY BJEFORE RECORDING NYO NOIF U ! ICE OF COMMENCEMENT." END TO OqtAIIN NCiNG, CONSULT Signature of STATE OF FLORIDA COUNTY OF M Ilk ((-I I for Owner The forgoing instrument was acknowledged before me this__ day of M &201 2020 by PA uJ 'b IZ-AC,44 1 Name of person making statement. Personally Known V OR Produced Iden ion Produce Type of ldentification \``�#�� RY�LA��S�k���� GW '—RO ,/p rwLO S (Signature of Notary lic- StatEgjfz8Ipoida;l0G �wool Z ��d ihSu ties:'• �t `r Commission No.Unde s Signature STATE OF FLORIDA COUNTY OF {J1 A iJ1 The forgoing instrument was acknowledged before me this _ day of M A (ZCR , 20ZO by -f �,A tO A&A t — Name of person making statement. Personally Known OR Produced Type of Identification Produced (Signature of Notary Commission No. State �N....... STO °6TtE p4Uofa �Pe IR, t��\\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW BATE RECEIVED DATE COMPLETED ttev. Z/ { f 17