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Home My WebLink AboutBuilding Permit Application ALL APPLICABL INFO MUST BE COMPLETED FOR APPLICATION TO"BE ACCEPTED J Date: Permit Number:" 1_ Buiid.ing Permit Applicatio`In . Planning and Development-Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (172)462-1553 Fax: (772)462=1578 Commercial ,,_: Resid.entlal x PERMIT APPLICATION FOR:; Gas tank ' PRpPOSED IMpROtLEM'ENT LOCAT)QM1l .. Address: 7280 Reserve Creek Dr _ Reserve Creek;Parce p l 4 Lot 12,and than art of-SEc 22=86-39.ADJ one.MPDAF (or 3872 2530:) Legal Description: _ _ . Property Tax ID#: 3322-,601-'0013=000 7 _- - _ -_ _ _ _. . Lot No..:... ,.... . Site Plan Name: Scull _ BlocR No. Project Name: Scull Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTI©N, OF W-0 Interior&Exterior LP Gas lines and underground 'tank (250 gallon) Itiona wor to ee orme un er t is permit—c eck a apply: ��HVAC. Lr=1 Gas Tank alias Piping Sh`ut"ters a Windows/boors Electric ❑ PlumbingSprinklers Generator 0]Roof �� Roof pitch Total Sq. Ft of Construction: Sq.-Ft-of First Floor.: .. _ Cost of Construction:$ 4545 00 utilities: Sewer Septic Building Height {JWNERJLESSEE CQNTRACTOR Name Jeff Scull Name: Cheyenne Ellison Address:1 Point Rd Company: Propane Services,Ihc dba Elite�Gas"Contractors City: Niaritic State:CT Address: 2130 SW Poma Dr Zip Code: 06357-2211 Fax: City: Palm City" State.FL Phone No. Zip Code: 34990 Fax: E-Mail _ Phone No. Fill in fee simple Title Holder on next page'(if different E-Mail: kgehrke@elitegasco com from the Owner listed above) State or County License: 1"8361 If value of construction is$2500 or more,a RECORDED Notice of.Commencement is required. `b, r T SUPPLEMENTAL,CORMT CTION;L[EN LAW.INFOR;MATION DESIGNER/ENGINEER: `Not Applicable MORTGAGE COMPANY: Not 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 comrnenced.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 Assoclatlon.rules, bylaws'or and.coveriants•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 c n ' o r recording our Notice of Commenc Signature o see/Contractor as Agent for Owner S ure of c or/L ense Holder STATE OF FL RID,Pr, STATE OF FLORIDA COUNTY OF j 66 COUNTY OF . p' -f- The forgo'n instrument was acknowledged before me The forgoing instrum nt was acknowledged before me this�y of "�0 � 20 Ley this day o __- 2 by COP {Name of person acknowledging} {Name of person acknowledging.) ature Notary Public-State of Florida) {Signature of Notary Public- fate of Florida j. Personally Known OR Pr Personally.Known R Psrl`ed Id" nti Icatlon Type of Identification P o¢ eda..G SSA�TKINSC)N Type of Identification Produ d2°:` .'',a ALYSSA AWNSO ALY '' MY COMMISSION#FF1179 Commission No. �`. MY C{1MM SSION#FF11790a �... ;oP e I Commission No. RKI�IES June 9, 201 '�ofF,,,••. EXP - June 9. 2018 a07 399-0153 FloridallotaryService.com (407)396-0153 FloridallotaryService.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW' DATE COMPLETE INITIALS