HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 3, 2021 Permit Number: �----
r Building Permit Application
Planning and Development Services Residential X
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Michael COrris
)SED IMPROVEMEP
7104 Cabana Lane, Fort
Property Tax ID n: 1301-613-0274-0000-0
Site Plan Name: Lakewood Park
Project Name: Corns Job
FL 34951
I DETAILED DESCRIPTION OF WORK:
Installation of leased 57 gallon alg propane tank w/ service lines to a BBQ grill.
New Electrical Meter Second Electrical Meter
l•.,.aeror rr-TInm InIPr1R11AATIf1N'
Lot No. 5 R 6
Block No. 149
Additional work to be p��e/rf/���ormed under this permit — check all that apply:
_Mechanical �iGas Tank X�Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing (((_Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. ft. of First Floor:
r„st of Construction:$ 823.54 Utilities: _Sewer _Septic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name Michael Corns
Address: 7104 Cabana Lane
City: Fort Pierce State:_
Zip Code: 34951 Fax:
Phone No. 732-221-6679
rs
E-Mail:lme 1 Y@Yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Earnest Banks
Company: Suburban Propane
Address: 16600 SW Warfield Blvd
FL
City: Indianlown State:_
34956
Zip Code: Fax:
Phone No 772-597-2268
E-Mail mtorres@suburbanpropane.com
State or County License LG2579
If value of construction is 2500 or more, a RECoxueu rvmn.= vi •.o,•��„_�•.._�„_�,. �. •=w�•
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:_
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Address: State:
City:
Zip; Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
U W NER/ CONTRACTOR AFFIDVIT: Application is nerec y mace fu uuu111 a Nam ............. •••- -.-.. ---
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countiyy 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. Lurie 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
.... -.. _ _ __ .,..-:.,... _,i,,...o ,Brio un.,r Nntirp of Commencement.
with lender or anattorneybefore wbu.. o,uu ....,o...
......7/..... __. .._--.__--{-
Signature o}owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/Ucense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—
COUNTY OFsi—
rn to (or affirmed) and subscribed before me of
Pt2ysiral Prese ce or r_ Online Notarization
�^' to (or affirmed) and subscribed before me of
Vs cal Presence or_ Online Notarization
t is dday of o+ 2 202f by
this y! day of 7une, . 2020 by
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Name of person making statement
Name of person making statement.
Personally Known R'pff)db0etlnieatigeaai
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(Signattrii of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRO14T
ZONING
SUPERVISOR
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I DATE
1 COMPLETED
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