HomeMy WebLinkAboutBuilding Permit Application - Horton-117 Queen Eugenia Ct All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: LP Gas
PROPOSED IMPROVEMENT LOCATION:
Address: 117 Queen Eu enia Ct Hutchinson Island, FL 34949
Property Tax ID#: 1414-701-0050-000-1 Lot No.
Site Plan Name: Horton/Stubbs Block No.
Project Name: Horton/Stubbs
DETAILED DESCRIPTION OF WORK:
Install 500 gallon LP tank and line to enerator and grill.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical XGas Tank XGas Piping _Shutters _- Windows/Doors
_Electric ^Plumbing Sprinklers r,Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction;$ 5684.05 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name__Benjamin Horton Name: Tom Fite
Address:_117 Queen Eugenia Ct � company: Ferrellgas
city: Hutchinson Island State: FL Address: 3232 SE Dixie Hwy
Zip Code; 34949 Fax: city; Stuart state: FL
Phone No. 772-359-6447 Zip Code: 34997 Fax: 772-287-3456
E-Mail: ben.horton@yahoo.com Phone No 772-287-4330
Fill in fee simple Title Holder on next page 4 If different E-Mail KimWilkins!2ferrellgas.com
from the Owner listed above) state or County License 31 370
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.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Stater 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 priorto the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is In con'ict with any applicable Home Owners Association rules,bylaws or anscovenants 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.'
Signature of Owner/Lessee/ ontractor as Agentfor Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin T_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 th day of June 2021 by this 11th day afJune 2021 by
Tom Fite Tom Fite v
Name of person making statement. Name of person making statement. �a"'
Personally Known. OR Produced Identification !ilirsonally Known V_OR Produced Identifi
Type of Identification �\4�\0�:,,00 of Identification
Pr
ced
I � C��\O� oei2��a.
(Signature of Not Public-State of rida 4'Q4r� (Signature of Notary lic-Scat ;a ,g
Commission No. FF06310 Commission No. FF063105
REVIEWS FRONT ZO SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
.RECEIVED EE
DATE
COMPLETED
ev. _