HomeMy WebLinkAboutFuel.Gas - Karen Allen - 4701 Eagle Dr, Fort Pierce, FL 34951 --APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: LP Gas
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: _4701 Eagle Dr, Fort Pierce, FL 34951
Property Tax ID ##: 1312-801-0039-000-2 Lot No. 236
Site Plan Name: Karen Allen Block No.
Project Name: Karen Allen
DETAILED DESCRIPTION OF WORK:
Install new gas line from existing piping in attic to new generator location
CONSTRUCTION INFORMATION:
Additional work to he performed under this permit-- check all that apply:
—Mechanical _ Gas Tank XGas Piping —Shutters _ Windows/Doors
_ Electric — Plumbing — Sprinklers _ Generator hoof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 1942.75 Utilities: _ Sewer Septic Building Height:
-OWNER/LESSEE:
CONTRACTOR:
Name Karen G. Allen
Name: Tom Fite
Address:_4701 EagleDr
Company:- Ferrellgas
city: Fort Pierce State: FL
_
Address: 3232 SE Dixie Hwy
Zip Code: 34951 Fax:
City: Stuart State: FL
Phone No. 772-834-6217
zip code: 34997 Fax: 772-287-3456
E-mail: kadentall@aol.com
Phone No 772-287-4330
fill in fee simple Title Holder on next page ( if different
E-MailKimWilkins@ferrellgas.com
State or County License 31370 T
from the owner listed above)
ltvalue or construction is �z5W 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
Name:
Address:
Address:
City: Stater
Zip: Phone
City: Stater
Zip: Phone:__
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: __Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UWNER/ GUN 1 RAGIUH AFFIUVI I: 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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOLP LENDER OR AN ATTHRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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 befor
1 meo,,
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The forgoing instrument was acknowledged before m o .
this 20th day of 1�1 20 �� by ^`
thls20th day of Ju y _ 2021 by ; ..g
Tom Fite,
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Tom Fite
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identiflc
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Personally Known OR Produced Identificatlo
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Type o. Identification
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Type of Identification
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(Signature of Notary Pt Ilc- State of Florida)
1.
(Signature of Notary Pubic tate f Florida)
Commission No. FF063105 (Seal)
° ---
Commission No. FF0163105 _ (Seal)
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