HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/21/2018 Permit Number:
SCANNED
RECEIVED
.el
Building Permit Application
JAN 2 3 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Gas piping
9
ElP�P
PROPOSED IMPROVEMENT'LOCATION
Address: 8804 Bally Bunion RD Port St Lucie, FL 34986
Legal Description: POD 32 AT THE RESERVE PUD III SPYGLASS LOT 2 (OR 4028-829)
Property Tax ID #: 3334-600-0005-000-2
Site Plan Name:
Project Name: Complete Electric -Aldridge Residence
Lot No.
Block No.
Setbacks Front10 Back:10 Right Side: 10 Left Side: 10
DETAILED DESCRIPTION OF WORK.
Install new LP gas line from existing LP gas tank to generator
CONSTRUCTION INFORMATION:
Itiona wor o je nej orme under this perm) —check a apply:
11HVAC L_J Gas Tank []Gas Piping ❑ _ Shutters Windows/Doors
0 Electric 0 Plumbing Sprinklers E] Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 1,151.58 Utilities: �Sewer Septic Building Height:
:,OWNER/LESSEE..,
CONTRACTOR
NameJoanne KAldridge
Name: GAMALIEL PORTALES
Addres,$804 Bally Bunion RD
Company: FERRELLGAS
City: Port St Lucie State: FL
Address: 3232 SE DIXIE HWY
Zip Code: 34986 Fax:
City: STUART State: FL
Phone No.772-388-0533
Zip Code: 34997 Fax: 772-287-3456
E-Mail:
Phone No. 772-287-4330 X22577
Fill in fee simple Title Holder on next page ( if different
E-Mail: mvoigtsberger@ferreligas.com
from the Owner listed above)
State or County License: 01237
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
:....,. �.. ... _ , . _, . p r.
NEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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 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
commencine work or recordine vour Notice of Commencement.
. e
^ n
vux
Si—gnature of Contractor/License der
Sign ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIP`A,-
I STATE OF FLO DA
COUNTY OF
COUNTY OF "P.-
The forgAing instalment was acknowledged before me
this day of J . 20 by
The forging instrument was acknowledged before me
this _!day of 2011 by
GA�wtAe-I Fa• Pa2�,�s
Cr�A'�ta�.��i. P�a�3
Name of person making statement
Name of p rs n making statement
Personally Known � OR Produced Identification
Personally Known OR Produced Identification
Type of Identifications '
Type of Identification
Produced
Produced
(Signs ure of Notary Public- Ate of Flo a)
(Signat re of Notary Public- St of Flori )
Commission No. I'l5 O��iSgG�,1 5,
Commission No. (Seal RJR
.,,,,.,, „
_1 MIMI..
REVIEWS
FRON
PERVISOR
PLANS
VEGETATION S
E
-:�„;
COUNT
REVIEW
REVIEW
REVIEW;
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17