HomeMy WebLinkAboutVandegrift gas permit appIF_ 1. i � lqm9AX�111 DI C-
Date:
Permit Number:
91r, lualE -
QW-1.,..
- 0 bil � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Installation of a [eased 500 gal U/G tank and lines
PROPOSED IMPROVEMENT LOCATION:
Address: 7620 Greenbrier Circle Port St Lucie, FL 34986
Property Tax ID #: 3322-700-0069-000-8
Site Plan Name- POD 19 PUD 11 GREENBRIER (PI3 41-5) LOT 64 (OR 1730-1383)
Project Name: Vandegrift
'DETAILED DESCRIPTION OF WORK:
Installation of 500 gal leased U/G tank and lines.
New Electrical Meter --- Second Electrical Mete . r
Additional work to be performed under this permit —check all that apply:
—Mechanical Y Gas Tank ><Gas Piping Shutters Windows/Doors
— Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2,499.00
OWNER/LESSEE:
Lot No. 64
Block No.
Pond -
Sprinklers _Generator , —Roof -- Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name:
Company: Como Oil Company of Florida
Address: 3586 SW Martin Hwy
City: Palm City State: FL
Zip Code: 34990
Fax:
Phone N0772-562-6666
E-Mail -o
State or County License
if Value of construction is 2540 or more, a RECORDED Notice of Commencement ft required.
If value Of HAVC IS $7,500 or more, a RECORDED Notice of Commencement Is required.
Namejimmie vanciegrat
Address: 7620 Greenbrier Circle
City: Part St Lucie
statavL
Zip Code: 34986
Fax:—
E-Mail: evandegr@comcastcom
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
li,
Phone
FEE SIMPLE TITLE Hdbm
Name:
Name:
Address:
City:
Zip:
Not A•plicable
State:
BONDING COMPANY: Not Applicable
Narne:—
i Address:
City: 1! Address:
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 an covenants that may restrict or prohibit such
structure, Please consult with your Home Owners Association and review your deed or 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 attornev before commencing work or recording your Notice of Commencement.
--r aSA i -n—t
n ----.IfContractor/License Molder Signature o
of Co
S' a ure of Owner) Lessee Co tract r s int for Owner
tractor/License Holder
STATE OF FLORIDA STATE OF FLOBVA
COUNTY OF
COUNTY OF7f"'J
--", - - ---------- , " - - -
Not Applicable
Sworn to (or affirmed) and subscribed before me of
Ph - I P Ainca resqnce or Online Notarization
thls�; ay of 2021 by
Jlmrffle Vandoodft
Name of person making statement.
Personally Known "J
OR Produced Identification
Type of Identcation
Prp#uced__j)
lbignature at Notaryublic-;t� ,_d f,foRdhlE LLE-P�'R` N
�,State of Florida -Notary Publi
Commission 4 GG 1416
Commissi0. non N (6*)o m r ission Expires'
s'
September 09, 2021 i
REVIEWS l FRONT ZONING-- - ' SUPERVISOR
COUNTER REVIEW
REVIEW
Sworn to (or affirmed) and subscribed before me of
hy-sical Presence or Online Notarization
this q54day of
2024 by
,try EI ECGIL-
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
;ignature of No mm sso
In No -7
PLANS VEGETATION
REVIEW REVIEW
P0 DANIELLE P. ZIMMERMAN
Mate of Florida -Notary P101b)
Commission # GG 1416,34
My Commission Expires
(Seal)
SEA TURTLE MANGROVE
REVIEW REVIEW