HomeMy WebLinkAboutBuilding Permit Application - Noble All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/22/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: GAS PIPING
PROPOSED V LOCATION:' , ,
ED-1MP11, EM'ENTT,`0
Address: 109 CAMELOT DR.
Property Tax ID#: 1432-801-0043-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
INSTALL NEW GAS PIPING FOR GENERATOR.
New Electrical Meter Second Electrical Meter
i lie
t b At TION"IN
CONSTRUC
Additional work to be performed under this permit—check all that apply:
—Mechanical Gas Tank —Gas Piping Shutters Windows/Doors Pond
Electric Plumbing —Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 500.00 Utilities: —Sewer Septic Building Height:
OWNER LtS- StE`.-_": CONTRACTOR:'
N Name FRANKLIN NOBLE Name:CHRIS JOHNSON
Address: 109 CAMELOT DR. Company:CNJ PLUMBING LLC.
City: FT. PIERCE State: Address: 1701 S. 37TH ST.
Zip Code. 34946 City: FT. PIERCE
Fax: State: FL
Phone No.772-466-0229 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page if different E-Mail CHRISJOHNSON@FPUA.COM
from the Owner listed above) I State or County License 30950
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC 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:
Zi*p: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun 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 paying twice for
improvements to your property: A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain .financing,consult
with lender or an attorney before commencing work or recording our N 'ce of Commencement.
+.r
Signature of Owner a e/ ontractor as Agent for Owner Signature of Contractor/License-Folder
STATE OF FLORIDA STATE OF FLORIDA ��c 1
COUNTY OF S �-.0 e-/E COUNTY OF S`7`:
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
,�4 Physical Presence or Online Notarization ,,Physical Presence or Online Notarization
this day of � 11�_ ,202Lby this day of .I3N 2021 by
Name of person making statement. Name of person making statement.
Personally Known w��OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si nature of Notary P b'c- t of Lori a I (Signature of Nota n4eid a
"i�Y p�'''• MARTi1A A KERB '�*�Y Pi t; MARTHA A KERR
Commission No. = '.• Notary P�t$liral4tate of Florida Commission No. =ra% �•^s Notary Public-Is Florida
i Commission N GG 311213 ..�;o�F,,cg�� #ssionees 122 omm
g„;, j My Comm
.Expires Mar 22,2023 My Comm Expir Mar ,2023
nuouthroughNaICTI Notary ssn.
REVIEWS FRONT ZONING SUP R I OR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/15/20