HomeMy WebLinkAboutWEISE APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: LP GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 12799 NW MARINER CT, PALM CITY, FL 34990
Property Tax ID #. 4425-603-0013-000-2
Site Plan Name: WEISE
Project Name: WEISE
DETAILED DESCRIPTION OF WORK:
INSTALL 500 GAL UG LP TANK AND LINE TO GENERATOR
CONSTRUCTION INFORMATION:
Lot No. —
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical XGas Tank XGas Piping Shutters Windows/Doors
Electric ^ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5256.05
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name THEODORE L. WEISE _
Name: Tom Fite
company: Ferrellgas
Address: 3232 SE Dixie Hwy
Address: 12799 NW MARINER CT
City: PALM CITY state: FL
Zip Code: 34990 Fax:
Phone No. 772-226-6977
E-Mail. VZ(@VZOrci.Com
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
City: Stuart state: FL
zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-Mail Kim\/Vilkins@ferrellgas.com
State or County License 31370
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
Name:
MORTGAGE COMPANY: _ 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.
I certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Count 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 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 COMMENC ENT."
Signature of Owner/ Less ee/C ntractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this23rd day of JUNE
2021 by
this23RD day of JUNE , 20 21 by
Tom Fite
h
m Fite
Name of person making statement.
e of person making statement.
Personally Known OR Produced
Identifi 4 ' Jo
ersonally Known ✓ OR Produced I tt i100
V � Q
Type of Identification
Qy �a a� Qom'
V
Type of Identification v� C; m o
Prod ced
�' ���
Produced
a lffl
(Signature of Notary Pu I - State of F rK r
(Signature of NotaryI
lic- State E3bCommission
R
No. FF�6 105
9 r°
Commission No.FF31 a5 )
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
-DATE
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COMPLETED
Rev. L/ // 19