HomeMy WebLinkAboutHoffman Permit AppAll APPLICABLE II�F MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (� Permit Number;
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: Residential
PROPOSED IMPROVEMENT LOCATION: Home
Address: 103 Bradley St, Fort Pierce, FL 34982
Property Tax ID #: 3402-608-0280-000-5 Lot No. 24
Site Plan Name: Hoffman Block No, 48
Project Name: Complete Electric/David Hoffman
DETAILED DESCRIPTION OF WORK:
Install 500 gallon underground LP tank and line to generator.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical XGas Tank XGasPiping_Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers — Generator r Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction; $ _4314.35 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR -
Name David W. Hoffman
Name: Tom Fite
Address: 1031 Bradley St
Company: Ferrell as
city: Fort Pierce state: FL
Address: 32.32_SE Dixie Hwy
City: Stuart state: FL
Zip Code: 34982 Fax:
Phone No. 772-489-9027
zip Code: 34997 Fax: 772-287-3456
E-Mail:
Phone No 772-287-4330
E-Mall KimWilkins@ferreligas.com
,.
Fill In fee simple Title Holder on next page ( if different
from the Owner fisted above)
State or County License 3137
If value or Construction Is sz5uu 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: Stater
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 priorto the Issuance of a permit.
St, Lucie County makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is in contlfct 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, wells, 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 ORAN ATTORNEY BEFORE RECORDING( YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin _ _
The forggoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thlsl9I_dayof FebrDa-,___,_ 2p2 by
this199thdayof Febr_LL _ 2B?1 by
Tom Fite
Tom Fite
Name of person making statement,
Name of person making statement.
Personally Known -_ OR Produced Identification Y
Personally Known _�—_ OR Produced Identification
Type f Identification
Type of Identification
Produ ad -_
Prad cod ..__ _........,
ignature of Notary LI 5L - F s RIL1L VVILKINS
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REVIEWS FRONT ZONING SUPERVISOR
TURTLE
PLANS VEGETATION SEA MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED_
DATE
COMPLETED
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