HomeMy WebLinkAboutPERMIT APP - 6-30-21All 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: GAS
PROPOSED IMPROVEMENT LOCATION:
Address: 7964 PLANTATION LAKES DR
Property Tax ID tf: 3321-803-0013-000-4
Site Plan Name: RG HAIR - BELEAND
Project Name: RG HAIR - BELAND
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential x
EXTERIOR LP GAS TANK AND LINES AND INTERIOR LP GAS LINES
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 11,600
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Eddy Beland
Name: Cheyenne Ellison
Address:20 Hilltop Or
Company: Elite Gas Contractors
City: AYR , ON NOB 1 EO CANADA State: _
Zip Code: Fax:(772)220-1829
Phone No.(772)220-9678
Address:2130 Poma Drive
City: Palm City State: FL
Zip Code: 34990 Fax: (772)220-1829
Phone No(772)220-9678
E-Mail:emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail emcintosh@elitegasco.com
State or County License 18361
u 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER. _ Not Applicable MORTGAGE COMPANY:
nl� lie Not Applicable
Address:
City:
Zip:
FEE SIMPLE TITLE HOLDER:
Zip:
vuwrrn r n
e:
State:
Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:_
Zip:
— --• —^r ---•- • ••• �+-I WV r r . Application is nereoy 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.
which is inbconwi t with any applicablelHome Othat wners Association) permit will
or and permit holder
that maylaestrictbor 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 YOYR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOR& OF COMMENCEMENT-
-
Owner/ Lessee/Contractor as Agent for Owner Signature of
STATE OF FLORID4A� STATE OF FLORIDA
COUNTY OF M A,lrhpli. COUNTY OF M a 1-44'
The fq{gging instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this Of 7day of 209/by this day of 20jPdby
Name of peLs6n makings atement. Name of person akmg atement.
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type of Identification Type of Identification
t3ignamrevr IvotarH v. (Signature its/4
W1 rotary Public State of Florida ys1 Notary Public State of Florida
Commission No. '� DesireJ�lllclntosh Commission No. '� � Desiree N McldSosIn
My Commiss_l r& GG 283399 y y Comm' 283399
or Expires 12/11/2022 bjor Expires 12111/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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