HomeMy WebLinkAboutBUILDING PERMIT 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 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: LP GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 5370 Slash Pine Trail, Fort Pierce, FL 34951
Property Tax ID #: 1407-342-0020-000-9
Site Plan Name:
KRAFT
Project Name: KRAFT
DETAILED DESCRIPTION OF WORK:
INSTALL 500 GAL UG LP TANK AND LINE FOR GENERATOR
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
,Mechanical x Gas Tank X Gas 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:
OWNER/LESSEE;
CONTRACTOR:
Name JUDITH KRAFT
Name: Tom Fite
company: Ferrellgas
Address. 5370 SLASH PINE TRL
city: FORT PIERCE State: FL
Address: 3232 SE Dixie Hwy -
Zip Code: 34951 Fax:
city. Stuart state: FL
Phone No. 772-231-5951
zip Code: 34997 Fax: 772-287-3456
E-Mail: 'kraft64@ya_ho0.com
Phone No 772-287-4330
Fill in fee simple Title Holder on next page ( if different
E-Mail._ KimWilkins@ferrellgas.com
State or County License 31370
from the owner listed above)
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
Nance:
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 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 accessary 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 AWATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENtEMENT.0
Signature of Owner/ Lessee/Contractor 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
thisl$ hdayof JUNE 20ZI by
this18THdayof JUNE: 201 by
Tom Fite
Tom Fite
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Typ of Identification
Type of Identification
Prod ced
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Rev. 217119