HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11.6.5>-40 Permit Number:
COUNTY RECEIVED
Building Permit Application JAN 14 2021
Planning and Development Services permitting Department
Building and Code Regulation Division St, Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: LP GAS TANK AND LINES
PROPOSED IMPROVEMENT LOCATION:
Address: 4800 WATERSONG WAY
Property Tax ID #: 2532-500-.0045-000-2 Lot No.
Site Plan Name: WATERSONG PUD PLAT NO. ONE
Project Name: Arbucci LOT 31
Block No.
DETAILED DESCRIPTION OF WORK:
INSTALL A 500 GALLON LP TANK AND GAS LINES TO A COOKTOP, FIREPLACE, (2) BBQ'S AND A FUTURE GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
_ Electric
X- Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
i- Gas Piping
Cost of Construction: $ ''2- 'al St 00
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mario Arbucci
Name: PAUL DRAGHI
Address: 4832 Watersong WAY
Company: PAULIE PROPANE $ NATURAL GAS SYSTEMS
City: Fort Pierce State: _
Address: 4100 SE SALERNO RD
Zip Code: 34949 Fax:
City: STUART State: FL
Phone No.
Zip Code: 34997 Fax:
E-Mail:
Phone No 7722202616
Fill in fee simple Title Holder on next page ( if different
E-Maii-pauliepropane@gmaii.com
from the Owner listed above)
State or County License 24441
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW'IN'FORMATION:
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 CO ENCEME MAY RESULT IN YOUR PAYING
TWICE FPOSTED OR 17HJ'O
YEMENTS TO YOUR PROPERTY. A NORST CE OF CYOU MENCVC
E`ND 0 NT MUST BE RECORDED AND
WRH YOU R OR.AN.ATTORNEY BEFRE THE ORE RECORDIN YOUR NOT E orsMMENOBTACNMEAT." ,CONSULT
Signature of Ow r essee/ a"rAkgMtdT Owner
signature M Cont /i a Hold
STATE OF FLORIDA
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STATE OF FLORIDA -
COUNTY OF
COUNTY OF
The forping instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this l y day of &3 20,41 by
this 6 day of 0 de/ , 20ZO by
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Name of person-makingstateme
Name of person making statement.
Personally Known " OR Produced Identification
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