HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/14/2017 aG Permit Number:
Building Permit Application JUN 16 2017
Planning and Development Services
Building and Code Regulation Division PEM."AITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gas tank (-
PRO.P.OSED IMPROVEM"NT�LOCATION
Address: 2023 Saint Lucie Blvd #309, Ft Pierce, FL 34946
Legal Description: WHISPERING CREEK CO-OP (OR 1469-2744) UNIT 309 (OR 2741-1298: 2834-1394: 2949-2687)
Property Tax ID #: 1433-504-0238-000-7
Site Plan Name:
Project Name: KOHLER RESIDENCE
Setbacks Front 10' Back: 10,
Right Side: 10, Left Side: 10,
Lot No.309
Block No.
DETAILED DESCRIPTION'OFWORK: ;
Install 2-420#LP Gas tanks and gas line to generator
CONSTRUCTION IN,FORMATI,O:N
...._ .1..
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.
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AdClitional work to e erformed under this permit — check
11HVAC Gas Tank ❑✓ Gas Piping
all
t=
app y:
Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
Sprinklers
_
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 3,048.15
Utilities:
Sewer 0
Septic
Building Height:
0`WNWLESSEE
CONTRACTOR:
Name LARRY KOHLER
Name: JONATHAN HURD
Company: FERRELLGAS LP
Address:2023 SAINT LUCIE BLVD, #309
City: FT PIERCE State: FL
Address: 3232 SE DIXIE HWY
Zip Code: 34946 Fax:
City: STUART State: FL
Phone No.978-424-7250
Zip Code: 34997 Fax: 772-287-3456
E-Mail:
Phone No. 772-287-4330
E-Mail: mvoigtsberger@ferrellgas.com
Fill in fee simple Title Holder on next page ( if different
State or County License: 01237
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
(SUPPLEMENTAL CONSTR.UCTIONrLIE'.N
LAW INFORMATION:
DESIGNER/ENGINEER:
x_ Not Applicable
MORTGAGE COMPANY: X_ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY: x 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
commencipm work or recordinl?:vour Notice of Commencement. --i
S
Sign u of Owne Lessee/Contractor as Agent for Owner
u o
Sig f Contract /License Holder
S ATE OFFLORIDA
MA
STATE OF FLORIDA
COUNTY OF 1r4
COUNTY OF MATT rJ
for
The for o,J.ng instrument was acknowledged before me
JUNG
The forgoing instrument was acknowledged before me
� T6(dg
this of , 20 Liby
this day of 20 L by
JONATHAN HURDl
JONATHAN HURD
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- Sta@e of Florida W
(Signature of Notary Public- Stalk of Florida
Personally Known _ OR Produced Identification
Personally Known - 9 OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. 46 (Seal)
Commission No. Q7s (Seal)
't`Yd; • MELISSA S. VOIGTSBERGE4,,�'��'��,
MELISSASX-fiSTSURGER
+; i+. My COMMISSION # GG 091751 +. }+ MY ION # GG 091761
Revised 07/ 15/2014 EXPIRES: ApdI 9, 2021 = EXPIRES: Apol 9. 2021
... `• Borbed ThN Notary Public Undwwaem Minded Tku Notary Pv* UMeiwr n
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS