HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
iCOEINTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: GAS
Permit Number:
Building Permit Application
Commercial Residential X
rnvrww nwrnUyrivitlNl LULAI IUN: i
Address: 1310 COPENHAVER RD
Property Tax ID t#: 2313-123-0003-000-6
Site Plan Name: SHOWCASE - STAHLBERG
Project Name: SHOWCASE - STAHLBERG
DETAILED DESCRIPTION OF WORK:
EXTERIOR LP GAS TANK AND LINES
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical y�GasTank Gas Piping _Shutters
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 9800
Sq. Ft. of First Floor:
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
George M Stahlberg, Charlotte M Staheyenne
EllisonAddress:
3310 Copenhaver RDPROPANE
=CONTRACTOR:CTOR:Name
SERVICES INC. DBA Elite Gas Contractors
City: Fort Pierce
Code: 34945 Fax: (772)220-1
Phone No.(772)220-967834990ZipCode:
2130 Poma DriveZip
City State: FL
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)
If value of construrtinr. is <7cnn — o,. ., oc;:;one.. .
E-Mail emcintosh@elitegasco.com
State or County License 18361
a regmrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:_
Address:
City:
Zip:
FEE SIMPLE TITLE HOLDER:
Name:
City:
Zip:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
....,.ply wi.1 nmi vra mrrluvi i : Hppucation 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
WITHAOUR LENDER PR AN ATTORNEY BEFORE RECORDING YOld4h NOTICE OF COMMENCEMENT_"
Signature
as Agent for Owner I Signature
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ COUNTY OF I' lty—�t n
The for oing in5t&ument was acknowledged before me The forgoing in5irument wa{ acknowledged before me
thisday of Vc-ce. 6er 20.;R iby this`�day ofDPLev.brr 20,21by
Ches4env\e ke!ertv\P r_—(U-50 V)
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
My
Personally Known CK OR Produced Identification
Type of Identification
Commission
imisvon GG 283399
12MI2022 io__i
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