HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
- J ij
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Residential I
PROPOSED IMPROVEMENT LOCATION:
Address: 7901 S INDIAN RIVER DR, FORT PIERCE, FL 34982
Property Tax ID #: 3518-231-0004-000-7
site plan Name: Matula/Foist
Project Name: atu a olst
Lot No. 2
Block No.
DETAILED DESCRIPTION OF WORK:
Remove existing 120 UG tank and install 1000 al UG LP tank and new line to
generator and connect to existing cooking, WH and dryer
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
,—Mechanical XGas Tank XGas Piping _ Shutters _ Windows/Doors
_ Electric ,- Plumbing — Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7278.35
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Mary Jane (Scott) Foist
Name: Tom Fite
Address: 7901 S Indian River Dr.
company: Ferrell as
City: Fort Pierce State: FL
Address: 3232 SE Dixie Hwy
City: Stuart state: FL T_
Zip Code: 34982 Fax:
Phone No. 7 2-46 -3441
zip Code: 34997 Fax: 772-287-3456
E-Mail:yankona@comcast.net
Phone No 772-287-4330
E-Mail KImWllkins@ferrellgas.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License 31 370
it value of construction Is .525UU 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 I MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Ho der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was
acknowledged before me
The forgoing instrument was acknowledged before me
this17thday of February
-, 2o21 by
thisl 7th day of February 2o21 by
Tom Fite_,
"°'Tom Fite
Name of person making statement. 3r - �����`�
Name of person making statement,
Personally Known V OR
Produce Efa�i� �0 4 _�8.
Persanplly Known ✓ OR Pro e';'
of Identification
Type of Identification
Pro du d
4��"� n�� S• 4 a'b``��Uc
H ���;v
Type
Produced
Na3��
(Signature of Notary Public
tatEf;W orida)
(Signature of Nota ublic- S t of Florida)
Commission No. FF0631
5 (Seal)
Commission No. FF0631 05 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19