HomeMy WebLinkAboutROCK APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /07/21
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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 Number:
Building Permit Application
Commercial Residential X
PE RMIT TYP E: GAS TANK AND LINES
PROPOSED IMPROVEMENT LOCATION:
Address: 51 Sovereign Way
Property Tax ID #: 1414-701-0013-000-0
Site Plan Name: QUEENS COVE -UNIT 1- BLK 2 LOT A AND LOT B-LESS S 50 FT
Project Name: ROCK
I DETAILED DESCRIPTION OF WORK:
INSTALL A 1000 GALLON LP TANK AND GAS LINES TO APPLIANCES
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: Sq. Ft. of First Floor:
Cost of Construction: $ 6,700.00
Utilities: —Sewer _Septic
Lot No. A&B
Block No. 2
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name THOMAS ROCK
Name: Paul Draghi
Address: 9409 Glacier RDG , 60071
Company: Paulie Propane & Natural Gas Systems
City: Richmond State: T-L
Zip Code: 60071 Fax:
Phone No.
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@gmail_com
State or County License 24441
If value of construction is $Z500 or more, a KECORDEI) 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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: T Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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 T O NER: YOUR FAILURE TO RECORD A NOTICE OF CO NCEMENT MAY R 5ULT IN YOUR PAYING
TWICE R 1 ROYU
NTS TO YOUR PROPERTY. A NOTICE OF CO MENCEMENT M ST BE RICO ED AND
POSTE ON T E JOl� BEFORE THE FIRST ATTQRNEY BEFORE RECORDINCNYOUR NOTI E OFOMMEN' MEN�TNCING,NSULT
WITH Y UR L DIEM ///
Signature o er/ Le tFactf as Agent for Owner
Signature of on ractor/Lice H de
STATE OF FLORIDA,
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STATE OF FLORIDA
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COUNTYOF M,
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The forgoing instrurXient w s acknowledged before me
The forgoing instrument was acknowledged before me
this day of i 20 by
this _a_ day of Q 20� 1I by
Name of person making statement.
Name of person making st ment.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19