HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/17/21 Permit Number:
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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:GAS LINE
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PROPOSED IMPROVEMENT LOCATION:
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Address: 1208 NW Winters Creek RD
Property Tax ID #: 4423-701-0009-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Robert J Garry
DETAILED DESCRIPTION OF WORK:F
ADD 4 FT OF LINE FROM EXISTING SYSTEM TO NEW COOK TOP.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank Gas Piping _ Shutters Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 810.0 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR`:
Name ber*- r
Name:
Addr s: ��(� N� 1 -�
Company: Thwo�
City: Yyi State: EL
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Zip Code: �-i Fax:
Addr 1—T9�D 5U
City S-1• State:E�—.
Phone No.
Zip Code: �� `'� Fax:
E-Mail:
Phone NoD)l-llJ
Fill in fee simple Title Holder on next page ( if different
E-Mail 4fbl Joylb CS .CO
from the Owner listed above)
State or County License C-1
It value or construction is c5uu or more, a KtCUKutu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN L�1W INFORMATION:
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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 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 commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
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Signature of Contractor/License Holder
STATE OF FLORIDA��
STATE OF FLORIDA IL
COUNTY OF _ I
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COUNTY OF a. I(ACA_ �
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Ph �ical Presence or Online Notarization
this day of , 202N oy
'x�Ph sical Presence or Online Notarization
this day of DJ IYIP , 2020 by
monuo -Tacoz
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Name of person making statement.
Name o person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Produced
LL .hk(�tc
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(SignatState of Florida)
(Signature of Notary Public- Sta
,;�•� ... KRISTEN MARIE FpLLANC
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Commission No. =? ry Public State of F.orida
commission . hh 6a933�A:
','KRIS?FN MARIE FOLLANC
�r N ry P iic Sta.e of F!orida
Commission No. .
"" i siCn= rh 64933
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of My Comm. Expires Nov 16. 2024
My Comm, Expires Nov 18, 202a
Bcrded 'rrocgr varcrai Nctary Assr.
Boncec -Mgr Na-crai Nctary Assn,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
GAS PIPING SCHEMATIC
[A2] [A4] [q6]
[1_41 [L8] [1_12]
TANK 1_1 L3 L5 L7 L9 Lli
SIZE
L21 [L6] [1-10]
[Al] [A3] [A5]
TANK SIZE: EXISTING GALS.
APPLICANCE — TYPE/SIZE
Al COOKTOP
105K
BTU
A2
BTU
A3
BTU
A4
BTU
A5
BTU
A6
BTU
PIPING LENGTH & SIZE
(PIPE SIZE WAS TAKEN FROM
L 14
FT.
3/4 INCH DIA.
THE 2014 FBC FUEL GAS CODE -
L2
FT.
INCH DIA.
TABLE 402 ( ))
L3
FT.
INCH DIA.
L4
FT.
INCH DIA.
L5
FT.
INCH DIA.
L6
FT.
INCH DIA.
L7
FT.
INCH DIA.
L8
FT.
INCH DIA.
L9
FT.
INCH DIA.
L10
FT.
INCH DIA.
L11
FT.
INCH DIA.
L12
FT.
INCH DIA.
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
Revised 7/22/14
CALCULATION WORKSHEET: COMBUSTION AIR, STANDARD METHOD
Step 1
Calculate the room volume
Step 2
Calculate the total input of appliances
in the room.
Enter the input rating of all appliances in
table 1.
Total the column.
Divide the total by 1000 (of Btu/hr).
Step 3
Calculate the required volume. Divide room
volume (Step1) by total/1000 (Step2)
If less than 50, additional air is needed.
If greater than or equal to 50, no additional air
is needed.
Room volume: Room length
Room width
Room height
Room volume = Length X width X height
6000 Sqft
Table 1 Appliances Table
30
25
8
Appliance
Input rating (Btu/hr)
Pizza oven
Water Heater
Stove
105,000
Dryer
Logs
Tota I
Total/1000
105
Required volume:
= 6000 Sqft
105
Additional air needed? (Check one)
Yes
No X
Customers Name
ROBERT GARRY
57
NFPA 54 FUEL GAS CODE