HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/2021 Permit Number:
L UCcL L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Gas tank and gas line installation
PRG0 EO IMPROVEMET OCAT1' NAdFort Piercec
Address: 4901 Grovers Road Fort Pierce, FL. 34951
Property Tax ID #: 1313-132-0003-000-1
Site Plan Name: Zane Lowery
Project Name: Zane Lowery
Lot No.
Block No.
Installation of an aboveground 250 gallon tank connecting to existing line. Also, burying 15ft of p.e. 3/4" gas line.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical t( Gas Tank K Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,068.93
Name Zane Lowery
Address: 4901 Grovers Road
City: Fort Pierce
_ Generator
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
— Roof Pitch
Utilities: —Sewer —Septic Building Height:
State: _
Zip Code: 34951 Fax:
Phone No. 772-519-8002
E-Mail: zanelowery@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Dean Schneider
Company: Como Oil and Propane
Address: 1701 commerce ave
City: Vero Beach State: FL
Zip Code: 32960 Fax:
Phone No 772-562-6666
E-Mail daniellez@comoflorida.com
State or County License 31431
it value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 our Notice of Commencement.
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Signature of Owner/ essee ontra or as nt for Owner
Signature of Contractor/License Holder
STATE OF FLOR , A
STATE OF FLORI . A
COUNTY OF 1 !r'sV
COUNTY OF rA1 &,
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
hysical Pres nce or Online Notarization
this' day of R , 202tj by
this tday of -' ( 2020 by
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
ProAced
Produced
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(Signature of Notary P lic- S teat Fr �axidjON
;=o state of Florida -Notary
ut(lSa ature of Notary blic
a Flo IELLE P. 1MMMERMA
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Commission No. s Seal Expi
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September 09, 202
�o ission No.
bbkknn mission Expires
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September 09, 2021
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iev.5/6/20