HomeMy WebLinkAbout9312 Avenel Lane Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.,
Building Permit Application
Planning and Development Services
BuHding and Code Reguladon Diva an
2300 Illrglnia Avenue, Fort Pierre FL 34982
Phone: (772) 462-15$3 Fax; (772) 462-1578 Commercial Residential
Address: _ _ g 1 Aysm i
Property Tax ID f#: 33VL Z 5OZ - CS 0< C - "�- Lot No. 4'Z
Site Plan Name: 9312- ievr l _"r,e__ �:.;y,e -- - Block No. ProjectName: I k r S
ataer` or ihonjeS5 _. aer +0 At P001 ke*A• r
Additional work tD be performed under this permit- check all that apply;
—Mechanical � Gas Tank XGas Piping —Shutters � Windows/Doors
— Electric — Plumbing — 5prinklers _ Generator —Hoof Pitch
Total Sq. Ft of construction:
'Cost of Construction: $ - 19lo'+
City:Port-' S Lvc;e - State:
Zip Code: 2j9& Fax:
Phone No. 4t/O -- :T - 3cJ ti .
E-Mail:---_-__--
Sq. Ft. of First Floor:
Utilities; _ Sewer _Septic Building Height:
Fill in fee simple Title holder on next page ( if different
from the owner listed above)
Name: Larry Llaastri
Company:AmeriGas
Address,3301 Oleander Avenue
City, Fart Pierce gate; FL
Zip Code: 34982 - Fax. 772465-8448
Phone No772-633-0740
E-MailAmariGas-7262 Marnerigas.corn
State or County LiCenSe02707128579
if value of construction is §2S00 or more. a RECORDED Notice of Commencement is required.
if value of HVAC is 0,500 or more, a RECORDED Notice of Commencement is required.
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ENGINEER:—NotAppiicable
MORTGAGE COMPANY:
NotApplicable
Name:
Name:
: Address
State::
•
Address•
City:State:
may;
Zip:�.� phone
Zip: hone:
FEE SIMPLE TITLEHOLDER. _ Not Applicable
BONDING COMPANY:
,_,_Not Applicable
Name:
Name:
Address:
Address:
'City:
Cam;
Zip; , ,Phone:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: A,ppllcation is nerelry maae m Douln
I certify that no' work or Installation has commenr ed prior to the Issuance of a parmit.
SG I.ude County makes noYrepre entation the Is ranigg a permit will aut oriae the ermit holde to build the subject strutture
structure. pleat
ra�is�e consult with PPyo�ri r Kome Owners �.•Associatiiof njand tevlew our seed roiany st�ric�tioons whlclt maor
apprl hlbi# such
In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the words
In acoardance with the approved plans, the Fioiida Building Codes and St. Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessary structures, swimming pools, fences, ++wails, signs, screen looms and accessory uses to another non-residential use
WARNING TO, OWNER: Your €allure to Record a Notice of Commencem�Ual!t In your paying twice for
ihsfnDtlte nts insoeet�a�oplf vu ldxfie d to ootice of btain #ioust consu t recorecon attorney before
wed on thesite
as
STATE OM
COUNTY OF
Owner I sknature
Tire r oing instru ent was acknoWledgel�efore me
this day of �� 20_ y
1hXV "V LA &AV-k
Name Of pdit_Q0 Baking statement
Personally Known OR Produced Identification
Type of Identification
STATE O.l:.151MRiuA� t may, `�
COUNTY OF _ ._
Theo oing Instr nt ras cknowled before me
thi „day of . Z9 by
"'v U L c
Name ol�person makig statement
Personally Known —O Produced Identification
Type of Identification
(Signature of Notary Pubiir)Lptate of y -1-tNgmmui fkRs
Commission No. K Pust �o9x5370a CRtnmisslon No.
lesion s G ltbb
Coft Coro Jl%%kon T, Mt
REVIEWS SUPERVISOR PLANS VEGETAMON
Cmylqrm I REVIEW REVIEW REVIEW REVIEW —
dATI
COMPLETED
ReV. 8/2117
'� ISTIE ICIRB
Notary Public -State of
Commission 0 QGF
REVIEW
'0
5
1pmPma Dow ml
W, k,rt-: to f wkto pruposml for year cons[dan dbn:
Brian Pears
Fort P
DbhklLo
CusomWs Telehaae i FinO
oft tankgght We near of house. Riun es use to E)d rWH and -- heater.
Tam mmate I'D ttgMe2ft 1M house and source of IgnMons.
Desmintion
Unit Cost Toiai
PmPar;L-
2.48
A99240
510(1 f a,:an underground tank
1935
$1.935.00
Isury and 2nchurtank w h anode(Leave dirt on sRe
1035
$1,035.00
3D '4 Par av€3 62 actual based on final tank location 300$ min
10
$300.0U
3 Trans -mitts
70
$210.00
2. book u 's
185
S370.00
3 Regu;zam
75
=5-m
.ttUi
25
w5Q.t]t)
F 7 Tee
135
3135.00
k
i
7.00%
$367.64
$2t10.4i�
�ea�r St�ryap�lis x:mt PtumbingancimQdrtr ly�gr`ct►ItS h
r-VVL Mar ex Aetrcrrrarrrr Weer Rrt-mA.��.�..
[TOTAL COST
_ .__•Ar._..,.,.�.,...,...r.,.,,. ,aw vucr��97MV%%rV(IlIII F_VIJUC4.UfVPiKVf- IJVtUUKEUik
A LL WOW SHALLB PERFO lED ACCORDING TO FEDERAL, STATE AND LOCAL UJREMEm-r�,.
r pl�** No on Olt0ftd kftQdkxt ilntmo n clrcVrnGV ncel such At POEM ad MUMM, premuwre installation of concrom. Inno;caaing, *mtQck
AW IMP M 69mm Onts Chop OWN ftltafit bo ApPTPvod prior to installouon aW aro sub)act to approval by tha authority havirsq juri�atron.
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T3R P11t►w. 772-633-0740
Tft storimaE l vra ud for c) drys ftm the ditto wmwedt