HomeMy WebLinkAboutNolan gas permit applicationAll APPU LE I�FO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Number:
Wag
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial---- Residential
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Installation of Leased 500 Gal Tank & Lines
Address: 9148 Pumpkin Ridge Rd, Port St Lucie, FL
Property Tax ID #: 3 - 322-505-0021
Site Plan Name: MAIDSTONE (PS 43-11) LOT 12
Project Name: Nolan
Installation of leased 500 gal tank and lines
New Electrical Meter ----- - Second Electrical Meter
Additional work to be P!rformed under this permit -check all that apply:
—Mechanical Gas Tank %Gas Piping Shutters Windows/Doors
— Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2499,00
MH 0=1
— Sprinklers — Generator Roof
- - - --------- Sq. Ft. of First Floor:
Lot No. 12
Block No.
Utilities: —Sewer _Septic Building Height:
Address: 11421 Chestnut Ridge Dr
City: Fart Wayne, IN State:
Zip Code: 46814 Fax:
Phone No.772-
E-Mail:jowiII30@hotmail.com
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
Pond
Pitch
Company: Como Oil Campany of Florida
Address. 3586 SW Martin Hwy
City: Palm City State. FL
Zip Code: 34990 Fax:
Phone No 772-662-6666
E-Mail-Aqlv�d mAIT11
State or County License.,?�- U-5
U value of construction Is 25M 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.
lIJr-3'0F1tK1I;;NQHNF-ER: Not Applicable
Name:
Address:
City: State:
Zip:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address
Zip: Phone:, ----
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip:.__.Phone:
BONDING COMPANY: —Not Applicable
Name:___,____ _______________
Address:
---- ------
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.
lWe.County.makes any that is granting a permit will authorize the ermit holder to build the subject structure w ch is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structu 9
re. 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 fallure 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 c mmencing work or recording o ice Of Commencement.
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our _ t
10 �i te f4o f
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%o'Aure of Owner/ te�sc�ejt nntractor as Agent for Owner Signature W&e 6IN �ontrict ij�Llcens der
STATE OF A M
FLORI STATE OF FLORIDA
:)
COUNTY OF- COUNTYOF
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Pro ced
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DANIELLE P. ZIMMERMAN
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Commission
on # GG 141634
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t I-KUWT- — f-ZONING SUPERVISOR PLANS � VEGETATION
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REVIEW REVIEW
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.4'1. to of Florida- Go 1 Publics34
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o" E Aires
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00J
Septembei 21
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