HomeMy WebLinkAboutPERMIT APP - 7-20-21 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/20/21
Permit Number:
•
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:GAS _____
PROPOSED IMPROVEMENT LOCATION:
Address: 4955 S INDIAN RIVER DR
Property Tax ID#: 2436-702-0002-000-4
Site Plan Name: PACE 2000- BOBO Lot No.
Project Name: PACE 2000- BOBO Block No.
DETAILED DESCRIPTION OF WORK:
EXTERIOR LP GAS TANK AND LINES AND INTERIOR LP GAS LINES
CONSTRUCTION INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank
Q(GasPiping —Shutters
Electric _Windows/Doors
— _Plumbing —Sprinklers Generator
Total Sq. Ft of Construction: — _Roof Pitch
Sq. Ft.of First Floor:
Cost of Construction:$ 11000
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namepaul Mitchell Bobo
1090 Southlakes Way y SW Name:Cheyenne Ellison
City: Vero Beach Company:Elite Gas Contractors
32968 State: Address:2130 Poma Drive
Zip Code:— Fax:(772)220-1829
Phone No.(772)220-9678 City: Palm City
State:F
34990 L
E-Mail:emcintosh@elitegasco.com Zip Code:— Fax: (772)220-1829
Fill in fee simple Title Holder on next page f different E-Mail No(772sh@eliteg
P g (i emcintosh@elitegasco.com from the Owner listed above)
If value of construction is
State or County License 18361
$250C 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.
rEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:s: Address:
State: City: State:Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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,
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 DER O AN ATTORNEY BEFORE RECORWYOUTICE OF C MENCEMENT:'
Signature of 0 ner/Lessee/Contractor as Agent for Owner t ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /L46L4•WP'.1 COUNTY OF {Lta_v IT'Iti
The forgoing instrumerlt was acknowledged before me The forgoing instrume t was acknowledged before me
this jcRo day of QGL/ 20,/by this,26day of LJ .201; j by
Cam+0,f4 r�0 !1 T EZ6/ I�-O lid
Name of pgdon making st ement. Name of pgc4in making sta ment.
Personally Known OR Produced Identification Personally Known VR Produced Identification
Type of entification Type of Identification
Produced Produced
(Signatu (Signature o of r
�V+'' Notary Public State of Florida ��I4 Notary Public Stale of Florida
Commission No. Desiree _,V tosh Desiree N Mclsttos
N H Commission No. ommiss,onv 699
+jc p• My Comm,ss,on GG 283399
Expires 12/11/2022 Expires 12111I2022
Oo„�T aw
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.