HomeMy WebLinkAboutBURTON - APPLAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Buflding and Code -Regulation t?fvlsfon
Permit Number:
Building Permit Application -
Z300 Wrglnia Avenge, Fort Pierce FL 34982
Phone: (772) 462.1553 Fax. (77Z) 462-1578 Commercial Residential
Address:
Property Tax ID #:.'� �.Z - io �$ - �j?-��J_ _- _ Z - - -- Lot No.
Site Plan Name: �� 3 S%�-o- u- Block No. SZ
Project Name: b v,r
Additional,work to be performed under this permit- check all that apply,
,,Mechanical AsasTank pas Piping ,_,_,Shutters —Windows/Doors
_ Electric Plumbing Sprinklers _ Generator Hoof .Pitch
Total Sq. Ft of Construction:: Sq. Ft. of First Floor:
'Cost of Can5inction: $ _ �8a . oo _ Utilities: Sewer _Septic Building Height.,
Address: S-X3 b)vlj -_-- -
City:...,,, (:�°
rt ' L,,Cc . State: f !,.
Zip Code: 34b2- Fax:
Phone No.
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
Name, Larry Licastri
Company:AmedGes
Address:3301 Oleander Avenue
City: Fort Pierce State: F1
Zip Code: 34982 Fax: 772465-8448
Phone No772»633-0740
E-Mail AmeriGas-72B2@amerlgas.com
State or County Llcense02707128579
If value of conw"L ction Is $2500 or more, a RECORDER Notice of Commencement is required.
If value of HYAC is $1,500 or more, a RECORDED Notice of Commencement Is required.
� ' .�� c:! ,� � .q_ .f � ?,' ga. ;r•4 o- � `� � '�...'�
DESIGIVER/ENGINEER: —Not Applicable II,IrORTGAGECOMPANY:—NotApplkable
Name: Name -
Address• Address: Mate:
City: State: City:
Zip: _ Phan Zip: _ phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: ,� •Not Applicable
Name, Name:
Adidres s• Address:
City: City _,-
ZIP;
Phone: Zip: . Phone:
OWNED / CDNTRACrOR AFADVIIN Application Is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that nor work or Installation has emmenced prior to the Issuance of a permit.
St. tucla Coun ma no repr eatation tha is granting a permit will! authorize the permit holder to build the subject ss ftuctu e
Which is In conflict � arty pp IcabM Horne hers Association rules, bylaws ore covemnts that may. r Krict nr qro iblt such
structure. Please consult wit your home 4mmers•Assoclation and review your deed for any restrictions whi may apply
In consi4erstion of the granting of this requested permit, I do hereby agree that I Wil, 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 concur rency review: room additions,
accessory structures, swimming pools, fences, +galls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO. OWNER: Your failure to Record a Notice of Cbmmenceme result In your paying twice fo€
lmpprov nts t roperty. A Notice of Commence . t m e re cor aced posted on the Jobsite
befo the S inspect o if y'L intend to obtain financi consu Ith lender r an atto€s:ey before
noire w rTeca ur kite-aF�rrrfrr i�t.- -
signatu a of O r Lessee/Contractor as Agent for Owner 5 nature of Co tractar/Licanse Holder
DO3(�TOiOF iVPAIlf i �V ` COUNTY OF RIDA `���
1i�e Deng Instry nt was dcno+ledge before me
th� day of —� 20� by
Name of perso"king statement
Personally Known OR Produced Identification
Type of identification
The Ding instru rrtwas acknWM6dg0V0fare me
thls � day of . ZOww..»_.11 by
Name of pe making statement
Personally known OR Produced Identification
Type of identification
:mIsslon
O1AVblir-State 0 Notary r,�; g25370
N .= Corc,rnissio ark ,res _
Commis
y Camrnlsslo !xp -• tbbrr
OCf�st3er 33r 2023 ik% Any
err lli'�-it. y l l
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW! REVIEW REVIEW REVIEW
Rev.
41STIE "
G•4tme {Ida
W114ft 0 40 025370
iStr+riii�sr�n �rcpitas
-A T G ROVE
REVIEW J REVIEW