HomeMy WebLinkAboutAPPLICATION -Fuel.Gas - Robert Altino - 8116 Kiawah Trc, Port St Lucie All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNT
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: LP Gas
PROPOSED IMPROVEMENT LOCATION:
Address: 8116 KIAWAH TRACE, PORT ST LUCIE, FL 34986
Property Tax ID#: 3327-705-0035-000-1 Lot No 34
Site Plan Name: ROBERT G. ALTINO Block No.
Project Name: ROEERT G. ALTINO
DETAILED DESCRIPTION OF WORK:
Install new 500 GAL UG LP TANK AND LINE TO RANGE WH AND FUTURE GEN
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical XGas Tank XGas Piping _Shutters _Windows/Doors
_Electric —Plumbing Sprinklers T Generator -__ Roof Pitch
Total Sq, Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5491.45 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ROBERT(3. ALTINO Name: Tom Fite
Address: 8116 KIAWAH TRC company:_Ferrellgas ^
City: PORT ST LUCIE State. FL Address: .3232 SE Dixie Hwy
Zip Code: 34986 Fax: City: Stuart State: FL
Phone No. 772-215-2137 zip Code: 34997 Fax: 772-287-3456
E-Mail:_altinohomes68@gmail.com 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
T
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: Stater 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 ang 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 YOUR LENDER 09 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT."
n
Signature of Owner/Les ee/Coutr or as Agent for Owner Signature of Contractor/License of ger
STATE OF FLORIDA -- STATE OF FLORIDA
COUNTY OFl,artin COUNTY OF__Martin
The forgoing instrument was acknowledged before ``a ....; ' The forgoing instrument was acknowledged before "�;C...•
this 20th day of JUlv 2OZ by n, ' this20th day of_July _ 2021 by
" rn
Tom Fite _ Tom Fite
Name of person making statement, �_°' '= "' person making statement, 2 m p g � u, .� m Name of er
Personally Known V OR Produced Identlficatl m �� Personally Known V OR Produced Identificatlo
Typ of Identification -;k ;� Type of Identification
PfOd Ced_ c ra =n Produc
a a
(S gnature of Nota blic-State of Florida) (Signature of Notary Publi State of Florida)
Commission No. FF063105 (Seal) Commission No. FF063105 _ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED