HomeMy WebLinkAboutBUILDING PERMIT APP - 8-18-21All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:GAS
Permit Number:
Building Permit Application
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION: i
Address: 12769 NW MARINER CT
Property Tax ID q: 4425-603-0028-000-0
Site Plan Name: JMC - ADDEO
Project Name: JMC - ADDEO
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 KGas Tank Gas Piping _ Shutters
Electric _ Plumbing _Sprinklers Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 14,100
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Louis M Addeo Jr
Name:Cheyenne Ellison
Address:548 SE Plumeria DR
Company:Elite Gas Contractors
City: Port Saint Lucie State: _
Zip Code: 34984 Fax:(772)220-1829
Phone No. (772)220-9678
Address:2130 Poma Drive
City: Palm City State -FL
34990
Zip Code: Fax: (772)220-1829
Phone No (772)220-9678
E-Mail: emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail emcintosh@elitegasco.com
State or County License 18361
- - .-•• •- uume ul wrnmencemen[ is regwrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
Address:
City:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip:
—Not Applicable
----• �•v • r...., • wn I rr• V vi i : Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no y work or installation has commenced prior to the issuance of a permit.
St.
is inoconflitcntawith any representation that
Owners Asssociationl ru esabylaws or and covenants that maiydrthe estrict or subject
bit 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 YOU%LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
of Ov ier/ Ce'ssee/Contractor as Agent for Owner Signature of
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ' A -- ' ' � COUNTY OF I "-A A..:Jj IA
The forgoing instrument was acknowledged before me
this—adayofAA_J5LJ,-,+ 20alby
ClneM eAA r_. 9 Q_t % ,,1.�
Name of Er)on making statement.
Personally Known V/OR Produced Identification
Type of Identification
Commission No.
REVIEWS
The for,ggo�ing instru ent was acknowledged before me
this i5dayof_9US+ 20al by
Name of per6_gA making tatement.
Personally Known 7 OR Produced Identification
Type of Identification
fP+DhG (Signature of Notary
fop IN Notary Public Stale of Flonda
My CDeSommission
t GG 2 Commission No.
4 t+ My Commission GG 283399 —
'I Expires 12/t1/2922
FRONT ZONING SUPERVISOR PLANS I VEGETATI
COUNTER REVIEW REVIEW I REVIEW REVIEW
e of FIcrRda )
Notary PppS� to of Florida
Desiree'N McIntosh
P My Commission GG 283399
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REVIEW REVIEW