HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: " ) Permit Number:
Building Permit Application JUL 5 ?q
Planning and Development Services PE z.7111Al fli JIG,
Building and Code Regulation Division 5t. Lucie Gcunn;, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gas tank
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PROPOSED IMPRQVEMENT LOCATION: „
Address: 8482 Lonesome Pine Trail
Legal Description: Hidden pines estates blk B lot 17
Property Tax ID#: 232370100320003 Lot No.17
Site Plan Name: Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
Ham-
DETAILED DESCkf!?TION CtF
Install 500 Gallon propane tank underground with line to generator
CQ'IUSTR'UCTIC►N INfORMATIaN
Additional work to ever orme under this permit—check a apply:
❑HVAC LJ Gas Tank �✓ Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8505.00 Utilities: Sewer Septic Building Height:
01NIVER/LESSEE;* N ,. CONTRACTOR:
Name Theodor Mutchler Name: Robert Binkowski
Address:8482 Lonesome Pine trail Company: Energized Gas INC
City: Fort Pierce State:_ Address: 4252 Bandy Blvd
Zip Code: 34981 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34981 Fax: 7723186672
E-Mail: Phone No. 7728773440
Fill in fee simple Title Holder on next page(if different E-Mail: Antonella@EnergizedGenerators.com
from the Owner listed above) State or County License: 34747
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN;,LAW INFORMATION! F
pp MORTGAGE COMPANY: Not
DESIGNER/ENGINEER: Not Applicable 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:
Zip: Phone: Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciniz work or recording our Notice of Commencement.
Sign ture oT Owner/Le see/C ntractor as Agent for Owner Signature of ContractorfLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF ,� �c,i-e COUNTY OF
The f ing instrument) as acknowledge efore me The forgoing instru ent was acknowledged before me
this j day of \itUU 20 Uby this Ll day of 20 a by
*is
(Name of r on acknowledging) (Name of perso cknowledging)
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(Signature of Notar If -State of lorida ) (Signature of Notary Public-State of FI da)
Personally Known OR Produced Identification Personally Know OR Produced Identification
Type of Identificat' n Produced Type of Identifi tion Produced
Commission No. a Commission No.
?o Notary public State of Florida Apr 6p" Notary Public state of Florida
Antonia M Paula
OF a° Expires 02/27/2019a191201
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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