HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-1�,aL Permit Number:
�I •
r r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: GAS TANK
PROPOSED IMPROVEMENT LOCATION:
Addra,,s• 57 Aqua Ra DR .Jensen Beach, FL 34957
Property Tax ID #: 4511-811-0022-290-0
Site Plan Name: WINDMILL VILLAGE BY THE SEA
Project Name: FARRELL
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
INSTALL A 500 GALLON LP TANK AND GAS LINE TO GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
,Mechanical '"Gas Tank VGas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ `
Sprinklers — Generator
Sq. Ft. of First Floor: _
Lot No. 9
Block No. B
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles E Farrell
Name: Paul Draghi
Address: 57 Aqua Ra DR
City: Jensen Beach, State: FL_
Zip Code: 34957 Fax:
Phone No. 954/260-6745
Company: Paulie Propane & Natural Gas Systems
Address:4100 SE Salerno Rd
City: Stuart State: FL
Zip Code; 34997 Fax: 7722202618
Phone No 7722202616
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail pauliepropane@gmaii_com
State or County License 24441
If value of construction is $z5uu or more, a KELUKLJtU Notice oT aommencement 1a reyuuru.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 authorizethepermit 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 OWNEW. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M Y RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE COMMENCEM MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 1 Y U INTEND TO STAIN Fl NCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TICE OF CO MENCEME14TT),7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatu of ntractor e H der
STATE OF FLORIDA
STATE F FLORIDA
'M art I�
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 20_ by
this 9-?- day of 1`YIAtC." , 2CQ� by
P�u_L'�by_f'°[,4i 1
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
(�klA
•�
(Signature of Notary Public- State of Florida)
(Signature of N Public- State (gFIO P01 40 s
Commission No. Seal
Commission No. s5e7 �� ��
mp'
i ra aor?de3O�ec? •'� �
• • Aublic Un �� \.,��
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTL� '1
)IMtIA,ROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19
BOARD OF
COUNTY
COMMISSIONERS
GAS PIPING SCHEMATIC
[A2]
[L4]
TANK L1 L3
SIZE
LZ] f [L6]
[Al] [A3]
TANK SIZE. 500 GALS.
APPLICANCE — TYPE/SIZE
Al GENERATOR
A2
A3
A4
A5
A6
PIPING .LENGTH .&.SIZE
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Coda Regulation
Division
[A4] [A6]
[L8] [L12]
] L9 L11
[L10]
[AS]
320,000 BTU
BTU
BTU
BTU
BTU
BTU
L1�—FT.
&; INCH DIA.
L2 �� FT.
INCH DIA.
L3�
FT.
INCH DIA.
L4
FT.
INCH DIA.
L5
FT.
INCH DIA.
L6
-FT.
INCH DIA.
L7
FT.
INCH DIA.
L8
FT,
INCH DIA_
L9
FT.
INCH DIA.
L10
FT.
INCH DIA.
1_11
FT.
INCH DIA.
L12
FT.
INCH DIA.
Revised 7/22/ 14
(PIPE SIZE WAS TAKEN FROM
THE 2014 FBC FUEL GAS CODE -
TABLE 402 ( 92-- ))
Websiie: www.stluc:ieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
A BOUNDARY & RECORD SURVEY FOR CHARLES FARRELL & DOLORES BROWN
m�a�a�r€R SOD°0338"E 57.33' r
Rr rAC a'
/RaVRA7
MP a�844_ R
NOTE: WATER, SEWER
AND UNDERGROUND
POWER SERVICE.
ADDRESS:
57 Aqua Ra Drive
Jensen Beach, PAO
Florida 34957 4
O
sr �r sr �r
GOYFRfp SCE D
w
s//V22YE sroRr
,4E5/DE-il�'E
6RiwE7iRtY
ho AY2;7 N 00 °0338" W 57,73'
67l54va-,*W EXF lZOE27 00FA En i
aotr�sr _
N 00%370 - W 2110/_ ,OEFp 6 >
IA5M 6 MEWS1OR0J
s2500
[ � 69 50;?6
a - s9.2o' �-.
-OF
FoNr--ate r A6ZWr
0A
LEGAL DESCRIPTION: From the Southeast corner of Block B, WINDMILL VILLAGE BY THE
SEA., UNIT TWO, as recorded in Plat ? ask 16, Page 31, of the Public Records of St.
Lucie County, Florida; thence Nord: 00013'10" West a distance of 211.01 feet;
thence through an are of 39.20 feet to the left, the central angle of which is
89050'28"; thence South 89'56'22" West along the North Line of said Block B a
distance of 571.79 feet to the Point of Beginning; thence South 00003'38" East
57.33 feet; thence North 89'56'22" East 105 feet, thence North 00'03'38" West
57.33 feet; thence South 89056'22" West 105 feet to the Point of Beginning.
CERTIFIED TO: CHARLES E_ FARRELL and DOLORES M. BROWN;
-- STATEWIDE MORTGAGE OUTLET INC., ITS SUCCESSORS AND/OR ASSIGNS;
FIRST AMERICA.N TITLE INSURANCE COMPANY