HomeMy WebLinkAboutPERMIT APP - 3-15-21SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
Name:
_ MORTGAGE COMPANY: Not Applicable
Address:
Name:
City:
Address:
Zip:
P Phone
State: _ City:
State:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:_
_ Not Applicable BONDING COMPANY: _Not Applicable
Address: 10 ... city: Address:
City:_
ZIP: Phone: Zip:
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.
which is inocontlict with any applicablelHo that is
As�opatl permit
ru rull les, or and co covenantsthatthat may rthe estrictborprohibit 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 R LENDER9R AN ATTORNEY BEFORE RECORDING YOUR.NOTICE OF rnmmirwrcmcor rr
Signature U Own
STATE OF FLORIDA
COUNTY OF MOLY-4 *P)
as Agent for Owner
The forgoing instrument was acknowledged before me
this IS day of A4 &,0. —C.i 20Q [ by
Name of on maki7tatement.
Personally Known OR Produced Identification
Type of Identification
Signature
STATE OF FLORIDA
COUNTY OF AA 4 r-hl'PI
The forgoing instrument was acknowledged before me
this L5 day of /144-P—CA 20 22/ by
Name of peAn making s atement.
Personally Known OR Produced Identification
Type of Identification
AREVIEWS
(Signature of N&� Notay Public State of FloridaDesiree N Mclni&"1(Commission No. a9
My Commission GG 283359I V Expires 12/11/2022
FRONT ZONING SUPERVISOR PLANS VEGETATION
OUNTER REVIEW REVIEW REVIEW REVIEW
DA
Notary Public $$at� leq( Florida
QEsiree N Mkpffs�lh
My Commi=on GG 283399
SEATURTLE I MANGROVE
REVIEW REVIEW
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/15/21
Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: GAS
LPROPOSED IMPROVEMENT LOCATION:
Address: 1423 NW Winters Creek RD
Property Tax ID #: 4426-825-0002-000-7
Site Plan Name: PIGNATARO
Project Name: PIGNATARO
DETAILED DESCRIPTION OF WORK:
Building Permit Application
Commercial Residential x
REPLACING OLD LP TANK. ADDING LP LINES TO GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2400
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
OWNER/LESSEE:
NameAngelo Pignataro
Address:94 Chester Ave
City: Staten Island
State: _
Zip Code: 10312 Fax:(772)220-1829
Phone No. (772)220-9678
E-Mail: emantosh@elitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Lot No.1
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
Name: Cheyenne Ellison
Comoanv. Elite Gas Contractors
2130 Poma Drive
city: Palm City
y State: FL
Zip Code: 34990 Fax: (772)220-1829
Phone No(772)220-9678
E-Mail emcintosh@elitegasco.com
State or County License 18361
If value of construction is $2500 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.