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HomeMy WebLinkAboutBuidling Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 Permit Number: Building Permit Application JUL Planning and Development Services ©EI 1ihTi';� Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 St. L uc's--GOUnty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Gas tank -! PR()POS'.ED IIVIFROVE.MENTL'OCATION " �� MIN Address: 12797 Cinnamon Way Legal Description: Mariner Village Harbour Ridge-Plat 3-Unit 30(Or 1185-744; 3908-1636) Property Tax ID#: 442560200290004 Lot No. Site Plan Name: Ozier Block No. Project Name: Setbacks Front Back: Right Side: Left Side: a „a},c,x A n ;„a"x ,ate w;� rw � iy U i ERN „k'. prs DETAILEDrDESCR'IPTION ®F�UV�ORKr „ � °.. . _ 500 gallon underground LP tank install and line }o gentria.Le— i- Fes r-10.1 Connec+ a +v,.: ' ';, i .m m -'§ eebb�x,y ta� a t y €" kd.�, '1 1 Yom" Qk N P f 4^y K "y P CON5TRUCTI®N INF,®RiIVIATI®N n- gX z P M - s..- ..�,t* roE.a.s. a�.� �.. :M�,.., .tis � + Additional work toene orme under this permit—check a appy: HVAC LJ Gas Tank ❑Gas Piping _Shutters Windows/Doors 11 Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 3,400.00 Utilities:n Sewer 0 Septic Building Height: z t�,„,':' --w fid a n1 _ - La a i C v OV1lNE'R%LESSEE �.� X11° CONTRACTOR" , .' �. NameKennethOzier Name: RobertBinkowski Address:12797 NW Cinnamon Way Company: Energized Gas City: Palm City State:FL Address: 4252 Bandy Blvd Zip Code: 34990 Fax: City: Fort Pierce State:FL Phone No.772-336-8550 Zip Code: 34981 Fax- 772-318-6672 E-Mail: Phone No. 772-877-3440 Fill in fee simple Title Holder on next page(if different E-Mail: ( c► tAai A from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONST 110 1ON LIEN LAW INFORMATI0N�s 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: 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 thepermit 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 for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commendrig,work or recq[dingypur Notice of Commencement. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI i STATE OF FLOR ,,I COUNTY OF ©f�.I�l� �{,l�ll-�- COUNTY OF The f r oing instrument w s acknowledg efore me The f rgoing instrument was acknowledged before me this day of 20by this J1 day of (. 20 by (Na of person acknowledging) (Name of pe on acknowledging) ou U, C t a (Si nature of Notary Public-Sae of Florida) (Signature of Notary Public-State of F rida) Personally Known )Q OR Produced Identification Personally Known OR Produced Identification Type of IdentificatioA Produced Type of Identification Produced Commission No. a mission No. Notary Public State of Florida Antonia M Paula ao P` Notary Public State of Florio— . of w Expires 02/27!2019 My Commission FF 191201 Revised 07/15/2014 OFNo?' Expires 02/27/2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS