HomeMy WebLinkAbout1928 Lynx Drive Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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
PERMITTYPE:
Address:
Property Tax ID #:
Residential— X .—
Lot No. 210
Site Plan Name: AsSeI'n 5101anLe. Block No.
Project Name: ASSOM i n UAS Sys tM
re, ; k- o s+w .
Additional work to be performed under this permit — check all that apply:
_Mechanical
_ Electric
XGas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 94.53. O$
_XGas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: -Sewer Septic Building Height:
Address: L=f 1 f F-Ivrfryc. 121M— g!?j: >-Y
City: Cl f� G Stater
Zip Code: —Fax:
Phone No. IT 7,-Co4b-_;M3
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Larry Licastri
Com pa ny: AmeriGas
Address:3301 Oleander Avenue
City: Fort Pierce
Zip Code: 34982
Phone No772-633-0740
State: FL
Fax: 772-465-8448
E-M a i I AmeriGas-7262@amerigas.com
State or County Lice nse 02707/28579
If value of construction is 52500or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone
fEESIMPLETITLEHOLDER: __ Not Applicable
Name:
Address:
City:
Zip: Phone,
Name:
Address:
City; State:
Zip: Phone:
Name:
Address:
City:
Zlp: Phone:
OWNER/ CONTRACTOR AFFIOVITt 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. IA,cie Countv makes no repregentation thagls.granting a permit will sutrorlie the�ermit how %too buildsail the subject
a rib t re
In considers tlon 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 Ploilda Building codes and St. Lucie County Amendments.
The fallowing building permit applications are exempt from undergoing a full concurrency review: room additlan5,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
OWNERi
to
The fo g Ing Instrument was acknowiedg d before me
this1�dayof M111 Ze��by
Name of parson 933KIng statement
Personally Known OR Produced identification
Type of Identification
KRI.STIE KIRBY
P of Florid
Commission ° a Notary ubileN
«m onlml o%ion N OG 926370
=.N. !V nA,. el.6mmi9sion Expires
of
REVIEWS COUNTER I REVEENW SUPERVISOR
Rev.8/2/17
It in your paying twice Ipr
and posted on the jobsite
pr an attorney before
VW
The forgoing Instrum nWs acknowledgetlbefore me
thisdayof ��Z31—by
Name bf pengermakIng statement
Personally Known OR Produced Identification
Type of Identification
Commission No.
REVIEW
B370