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HomeMy WebLinkAboutBuilding permit gas appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number1 _O kl 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 PERMIT APPLICATION FOR: Commercial Residential. CBDG Funding PROPOSED IMPROVEMENT LOCATION: Address: , Property Tax ID #:� ' E Lot No.4t Q Site Plan Name: Block No. Project Name: %A_1..-��� DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter. CONSTRUCTION INFORMATION: (Affidavit required) Additional work to be performed under this permit — check all that apply: _Mechanical ,Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond — Electric _ Plumbing _ Sprinklers —Generator _ Total Sq. Ft of Construction: Sq.Ft. of First Floor: Cost of Construction: $ O�� mc` Utilities: ? Sewer _ Septic Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: Address: Olt Y- MAW Company: Address: nooe_ RP_ City: State: Zip Code: Fax: Phone No. ELQ,a?,_ E- City: FA dsmLv� State: Zip Code: Fax: Phone No k 5'. Mail: Filt in fee simple Title Holder on next page (if different from the Owner listed above) L-Mail State or County License LA- 1 C.. IT value oT construction is Z500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Address: City: Zip: Phone FEE SIMPLE TITLE BOLDER: Name: Address: City: Zip: Phone: _ Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: _ Address: City: Zip: Phone: Not Applicable State: Not Applicable OWNER CONTRACTOR AFFIDVIT: Application is hereby trade 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLOMDA COUNTY OFT UJ, Pt5 Sworn tofor affir a I) and subscribed before me of Physical Presence or Online Notarization this day of / , 20Z'Lby Name of person making statement. Personally Known tl""' OR Produced Identification Type Identifica oo Produced — YXIV I±Z� (Signature of Notary Public- State of Florida) Commission No. UL EHOERNER (Seal} SSION # HH 101201 S: March 7,2©25 otary Public Underwrilera =E7�- REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21 i • i ""AMP rt .. C)2 N N —(a N z ono � ni rn -. 01 CD �� N p CD r 3- � co -A n a ° o —� o a� -np v(nCD o o [l) M , CL aj 0 a M UU -P, N m \ 0 m w n C7 z O_ 0 CD fD NQ((D fD C_ Q = �_ O tr -n `C O - O o � 3 N C CD C (p m r+ Co r- cD Ln ) a N W W CDCI- o — � cn N .0 O N O rt CD O -4 s 70 C W �CD 7 al CCY, N nc p O;r, m 0):E( O -0 O� CA= CD 0 m C} O -n CD W C CD O O C CD .-r CO w pOj p 0 0) CD 3 Q DO M Q CD N a N 3 0 CD o -n Er �nW p co 0 g �m � �V 1 •� . Install New 24kW i Generator with .4 , Automatic Transfer DQ �� Switch `C'.C�(I •� Install New 250G Buried Propane 116 ~ Tank 4 1 •Cf�' ti ID S� O Ab E . L0V811N3W3,9VNVN 831 b'M QNOd Mf8,0S -470YI0 AYY38Nns (03AW ►W) .A1 `_ IAO.A *s Electric Meter co p 250 Gallon Buried Propane Tank �0