HomeMy WebLinkAboutHARPER-PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data: , 1 Permit Number:
Building Permit Application
Planning and Development Services
BuRding and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462.1553 Fax: (772) 462-1573 Commercial
PERMIT TYPE: n
Address: • °-, IA"': �-
hvp
Residential
Property Tax ID it: 1�� � � ..0 0 "1
Site Plan
Project Name:
Lot No,
Block No.
WIND:� f- F. z ; i N ��r _�. F ..E a
Mt"c..fE fizr , E fi # €;
Additional work to be performed under this permit— check all that apply:
—Mechanical
Electric
_,'Gas Tank
_,,,_ Plumbing
_ Gas Piping
_ Sprinklers
—Shutters
. Generator
Total Sq. Ft of Construction:--�-�— Sq. Ft. of First Floor:
'Cost of Construction: $ �` Utilities: _ Sewer ! Septic
Name VJ i i k i [L L AA i,try �-(- "I"
Acidness:_ � by L1 �-,y 9 ( , r
City: _ �r State:
Zip Cade: 30 � Fax.11W9
Phone No. - LA G
f %L+Vlime-,
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above]
Windows/Doors
hoof Pitch
Building height:
Name: Law Licaslri
company,AmedGes
Address•3341 Llleander Avenue
City: Fort Pierce - -- State• FL
Zip Code: 34982 Fax: 772465-8448
�Psbne N0772-633-0740
Er -Mail+` Amer!Gas�7262@amerigas.com
State or County License02707I28579
If value of construction is �25130 or more, a RECORDED Notice of Commencement is required.
if value of M(AC is $7,500 or more, a RECORDED Notice of Commencement is required.
fn ' 4k it�l' eiY
Oil
MORTGAGE COMPANY: Nat Applicable
i RESIGNER ENGINEER: _ Not Applicable
Nl me:
—
Name:
Address•
1 Address.•
.,_
City:
_
State- -- -- --
City:._State.•
xip: Phone
ZIP: Phone;
FEE SIMPLE TITLE HOLDER. _
Not Applicable
BONDING COMPANY: "„Not Applicable
Name:
Name•
Address:
Address:
•
City:
p Phone.
- -
Zip Phone:
OWNER/ CONTRACTOR AFEIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that na work or installation has commenced prior to the Issuance of a permit.
St. Lucia: County makes no representation that Is granting a permit will authorize thepermitholder to build the subject structure
which is in eon Lei with anyi , ppllcable Home Owners Asso_ anon rules, bylaws or an covenants that may refrIM or prohlblt such
structure. Please consult w t your Home Owners: Association and review your deed fer any restrictions whit 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 Cosies and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concur rency review: room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessary uses to another lion -residential use
WARNING TO. OWNER: Your failure to Record a Notice of
Improv nts roperty. A Notice of Commew
befo the s inspectlo if you intend to obtain finan,
of
STATE OFTt
COUNTY OF
The fa oing Instru nt was acknowledged before me
this rday of 26 by
JA mWi Lo t C1" JA-V t _
Name of per"king statement
Personally Known OR Produced €dent€fEcat€on
Type of Identification
Produce
(Signs re of Nata P
5 IE KiRBY
i CQmml5sinn No. ,;sYa�a',- otary state of Florida
=. += Commission # GG 925374
Nay Commission Expires
REVIEWS I Fiil7 q7 -- ZONING
COUNTER REVIEW
DATE
COMPLETED
Rev. 8/2/17
lit In your paying twice for
and posted on the jobsite
fir are attorney before
Staturetraetor/Etcense Holder
iTARipp �}
COUNTY Olt �l ] ��/1r. i f/t �/��✓
The far oing Instru as acknowledged before me
this day of _ 26_ {lay
1I' wt
Name of person rr icing statement
Personally Known OR Produced Identification
Type of Identificagon
Commission No.
SUPERVISOR � PLANS � VEGETATION
REVIEW i REVIEW REVIEW
R�5 ISTIE KIRBY
Not ry blic-State of FI
��• Commission # GG 925
OYe°c R'v Gomm;ssmn Ex n
r„ c e—r-2=
3KOVE
REVIEW i REVIEW
BOARD OF
COUNTY
COMMISSIONERS
GAS PIPING SCHEMATIC
re71 rOdi
(All [A31 EAb1
TANK SIZE: S-L GALS,
APPLICANCE - TYPE/SIZE
Al 0ZMUWA h ✓ d -BTU
A2 BTU
A3 u S -f L BTU
A4 BTU
A5 BTU
A6 BTU
PIPING LENGTH & SIZE
L1 10
FT.
I9 INCH DIA.
L2 2
FT.
INCH DIA.
L3 JFT.
_INCH DIA.
L4 v
FT.
31 INCH DIA.
L5_ 1�L a' FT_
INCH DIA.
L6
FT.
INCH DIA.
L7
FT.
INCH DIA.
Lg
FT.
INCH DIA.
L9
FT.
INCH DIA.
L10
Fr.
INCH DIA.
L11
FT.
INCH DIA.
L12
FT.
INCH DIA,
Revised 7/22114
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
[A61
(PIPE SIZE WAS TAKEN FROM
THE 2014 FBC FUEL GAS CODE -
TABLE 402 ( __-7}
Website: g6Lw stluciera. ov
230() Mrginia Avenue - Fart Pierce. FL. 34982-5652
Phone tiT72) 462-1553 FAX (772) 462-1578