HomeMy WebLinkAbout2 Gas Permit SignedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 YES
PERMIT APPLICATION FOR: Gas tank I
PROPOSED IMPROVEMENT LOCATION: I
Address: 7685 WEXFORD WAY
Legal Description: RESERVE PLANTATION -PHASE I- LOTS 21 AND 22
Property Tax ID #: 3321-801-0021-000-7
Site Plan Name:
Project Name: MICHAEL WILLIAMS
Setbacks Front Back: _
Right Side:
Left Side:
Lot No. 21/22
Block No.
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to b e ertormed under this permit — c ec a apply:
❑HVAC Ir I Gas Tank W]Gas Piping _Shutters a Windows/Doors
11 Electric E] Plumbing Sprinklers Generator D Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4,447.30
5 Ft. of First Floor: _
Utilities: Sewer 11 Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name MICHAEL WILLIAMS
Name: p 6
t'
Address:7685 WEXFORD WAY
Company: 1
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 925-200-1992
IIl
Address: S i ! eU -e— Ave,
City: t ls�t L��f State: FL
Zip Code: � l Q63 Fax:
Phone No. (]
E-Mail: michaelbankerwilliams@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: � L
State or County License: 0_
If value of construction is $2500 or more, a RECCIRMIJ Notice or t ommencemenr 15 requireu.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
e:
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencemat. 11�
`^ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instrument was acknowledged before me
this � day of '�e Gl 20 ,Lby
MICHAEL WILLIA*S
(Name of erson acknowledging)
i
ignature of N toy Public- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced oL
Commission N off stary ublicStat w?ri"
N.
Ashley Simfamany
M My Commission GG 946316
Revised 07/
se
STATE OF FLORIDA
COUNTY OF�4i
The forgoing instrument was acknowledged before me
this$- day of 4 20 PQ_ by
(Name of person acknowledging) E
signature of Not r)Public-State of Florida
�LU.E
Personally Known_ OR Produced Identification x
Type of Identification Produced
Commission ND,..�
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS