HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � � SCANNED Permit Number:
A111111111lay - n- - St Luiile.Cauri
RECEIVED
Building Permit Application JAN 31 2018
Planning and Development Services
Building and Code Regulation Division BT. Luel Co ty, P®rmltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank (i=
PROPOSED IMPROVEMENT LOCATION:
Address: 8501 Plantation Lakes Blvd.
Legal Description: Lot 39 Tradition
Property Tax ID #: 3321-801-0043-000-3
Site Plan Name: Carl Pettigrew
Project Name: Carl Pettigrew
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF;WORK:
Install 250 gallon LP Gas tank
Lot No.39
Block No.
CONSTRUCTION'. INFO'RMATION:.
Additional work to ever orme under this permit — c ec a apply:
11HVAC L i Gas Tank ❑Gas Piping _ Shutters E]Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction:. S . Ft. of First Floor:
Cost of Construction: $ h • Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
9
NameCarlPetti Pettigrew �`" "`
Robert "
Name: f
8501 Plantation Lakes Blyd.:;s; =;
Address. s�,_. .,t ,>.
City: Port Saint Lucie `°'�`''°"'' ' "'"`"' `"
Zip Code: 34981 Fax:772-318-6672
Phone No.772-877-3440
Ft
State: _
Energized Gas
Company: g =-, ;:v.i, n;�•,: , _ '.
4252 Bandy Blvd.
Address.
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-877-3440
E-Mail:jennifer.energized@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: jennifer.energized@gmail.com
State or County License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION' LIEN LAW INFORMATION:'
DESIGNER/ENGINEER:. — No !Applicable
MORTGAGE COMPANY: _ Not Applicable
N a1 e: Carl Pettigrew
Name: Robert Binkowskl
1m
AcldreS$:8501 PlantatiomLekes;Bivd. I-
Ad'dr2SS:_8501 Plantation Lakes Blvd.
City: PortSaintt.ucle tate:
City: Fort Pierce State:
Zip: Phone
• I.
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name:.: ,
Name:
Address : 4252 Bandy Blvd. Address:
City: I City:
Zip: Phone: Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Application 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 i� 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 Flol{ida 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, vIalls, 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
commencing k orrecordiQg youfNotice of Commencement.
Signature of O ner/ Less a/Contractor as Agent for Owner
Signature of Contra r Licen a Holder
STATE OF FLORID n
STATE OF FLORI
OF ('� e
��
COUNTY OF U10,
ICOUNTY
TheJbin tru t was acknowledge fore me
The tru knowledg fore me
this ad y of 20 y
l_ V bl
this ay of 20�by
Name of r on making statement
Personally Known OR Produced Identification
Name of p on making statement
Personally Known OR Produced Identification
Type of Iden 'fi ti j
L
Type of Ident' ' i¢? (�
Produced �J�
Produced l
gn�tlure f Notary PLC G }�y�f�nrida)
Pao,Not J IYI GVf�SVIY
ig atu a of Notary P blic- State of FloridaY
* Commission (Sea)
YFb9Com
C .•••. JENNIFERCORSON
(Seal)
30,2021
9 OFM10BondedTMu&IaGatNofeiYservices
192
s `o� ExPlresOctober30,2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17