HomeMy WebLinkAboutFuel.Gas - Judith Stoll - 10126 Inverness Way - APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ICOUNTY
Planning and Development Services
Building and Code Regulation Divlsion
2300 Virginia Avenue, Fort Pierce Ft 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: 10126 Inverness Way, Port St Lucie, FL 34986
Property Tax ID #.. 3321-802-0009-000-0 Lot No. 3
Site Plan Name: STOLL Block No.
Project Name: STOLL
DETAILED DESCRIPTION OF WORK:
Install 500 gal ug Ip tank and line to 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
Total Sq. Ft of Construction: 5657.30
Cost of Construction: $
Sprinklers — Generator T Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Judith C. Stoll
Name: Tom Fite
company: Ferrellgas
Address:_ 10126 Inverness Way _ _
city: Port St Lucie state: FL
Address: 3232 SE Dixie Hwy
Zip Code: 34986 Fax:
City: Stuart state: FL
Phone No. 772-979-3362
zip code: 34997 Fax: 772-287-3456
E-Mail:jcaystoll@gmail.com
Phone No 772-287-4330
Fill in fee simple Title Holder on next page ( if different
E-Mail. KlmWilkins@ferrellgas.com
from the Owner listed above)
State or County License 31370
it value or construction I5 .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: r Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: Stater
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 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 EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for
Owner
Signa�4ofontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forggoing instrument was acknowledged befor`'�.
r>s':'tios:
The forgoing instrument was acknowledged before me,--_.
this16th day of July ^� 2021 by
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:.fit
this 16th day of J� _, 2021 by
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Tom Fite
Tom Fite
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Name of person making statement.
Name of person making statement.
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Commission No..FF063 05 _ (Seal)
Commission No. FFO 105 (Seal) a
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