HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
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: 7900 Picos Rd, Fort Pierce, FL 34945
Property Tax ID#: 2314-133-0001-000-6 Lot No.
Site Plan Name: Folbrecht Block No.
Project Name: Complete/Folbrecht
DETAILED DESCRIPTION OF WORK:
Install 1000 gal ug Ip tank and line for 30KW generator.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
—Mechanical XGasTank XGas Piping _Shutters _Windows/Doors
,-,-Electric _Plumbing _Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:S 6994.70 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Melvin T. Folbrecht Jr Name: Tom Fite
Address: 7900 Picos Rd Company: Ferrellgas
City: Fort Pierce State: FL Address 3232 SE Dixie Hwy
Zip Code: 34945 Fax: City: Stuart State: FL
Phone No. 772-215-4784 zip Code: 34997 Fax: 772-287-3456
E-Mail: Phone No 772-287-4330
Fill In fee simple Title Holder on next page(If different E-Mail KimWilkins@ferrellgas.com
from the Owner listed above) State or County License 31370
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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: _Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: 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,
accessary 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 YOUR LENDER OR AN AJTORNEY BEFORE RECORDING YOUR NOTICE OF COMM CEMENT."
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
this 16th day of Jules 2021 this 16th day of jqlj �2021 by
Tom Fite n , .`�� Tom Fite
Name of person making statement. a Name of person making statement, it ml
a .6 '
Personally Known OR Produced Iden ( a Personally Knawn_V _OR P aduced Identificn
Type of Identification
�� Type of Identification ' =�
Produ d Produc d 4
z. n zur M
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(Signature of Notary iblic-State of Florida) N (Signature of Notary Pub - tate of Florida) ,L z" m
Commission No. FF 63105 (Seal N ! Commission No. FF06 105 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE -- ---_. -- —
COMPLETED
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