HomeMy WebLinkAboutCOMER APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: LP GAS
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 8590 GERMANY CANAL RD, FORT PIERCE, FL 34987
Property Tax ID #: 3229-333-0001 -000-2
Lot No.
Site Plan Name: COMER Block No.
Project Name: COMPLETE/COMER
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 500 GAL UG LP TANK AND MANIFOLD TO EXISTING 120 UG FOR
- ----------
STOVE AND GENERATOR
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 Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4860-05
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Samuel Comer
Name: Tom Fite
Address: 8590 Germany Canal Rd _
company: Ferrellgas_
City: Port St Lucie State: FL
Address: 3232 SE Dixie Hwy
Zip Code: 34987 Fax:
City: Stuart state: FL
Phone No. 772-216-1075
zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-Mail:
Fill in fee simple Title Holder on next page ( If different
E-Mail_ KImWllkin§ @ferrellgas.com
from the Owner listed above)
State or County License 31370 T
it value of construction is SZ500 or more, a RECOROEV 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! nstallation has commenced prior to the Issuance of a permit.
St, Lucie County makes no representation that Is granting a permit 111 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 IMPROYEMENTS 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 A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN EMENV'
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License older
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
this 23.day of JUNE 202J by
this23, day of .Il1NE�2021 by
Tom Fite
Tom Fite
Name of person making statement.
a of person making statement.
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Personally Known V OR Produced Identificatlo �2 b'
ff
g ally Known OR Produced Identificati °� lv
`
_
Type of Identification ,. ,� tiro
a of Identification
w ,L
Produce
o uced
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(Signature of Notary P b ic- State of Flor ,,�I�„ a�
(Signature a of N y Public• State
Commission No. FFO 105 e
Commission No. FF063105 '' =
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Rev, Z///19