HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
Date: 01/21/2018
GGANNE
•
Building term" t
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
BE ACCEPTED
Permit Number:
fV pplicatioFJ—RECEIVED
AN 2 3 2018cie County, Permitting
Commercial Residential X
PERMIT APPLICATION FOR: Gas tank �
PROPOSED IMPROVE MENT'LOCATI.ON -,
Address: 6512 Alheli Fort Pierce, FL 34951
Legal Description: SPANISH LAKES FAIRWAYS BLK.39 LOT 28 (OR 1397-331: 4028-1715)
Property Tax ID #: 1306-500-0066-000-7
Site Plan Name:
Project Name: Complete Electric - Millefte I
Setbacks Front10 Back: 10
`DETAILED DESCRIPTION.OF WC
Install new 500 gallon LP gas tank
Right Side: 10
and gas line to generator
Left Side: 10
Lot No.
Block No.
CO.NSTRUCTION`iNFORMATION:
Additional work to be ne orme / under this permit — check all t= apply:
❑HVAC LJ Gas Tank ❑ Gas Piping _ Shutters Windows/Doors
❑
❑ Electric 0 Plumb�jng []Sprinklers ❑ Generator ❑ Roof. Roof pitch
Total Sq. Ft of Construction: / S . Ft. of First Floor:
Cost of Construction: $ 3,826 58 Utilities. L__I Sewer Fl Septic Building Height:
i
OWNER%LESSEE. ,;
CONTRACTOR:
NameJoseph & Sandra Millette
Name: GAMALIEL PORTALES
Address: 6512 Alheli
Company: FERRELLGAS
City: Fort Pierce ji State: FL
Address: 3232 SE DIXIE HWY
Zip Code: 34951 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@ferrellgas.com
State or County License: 01237
from the Owne� listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ti
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
_
Address:
Add ess:
City:
State:
City..
State:
Zip: Phone
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BOLDING COMPANY:
Not Applicable
Name:
Na,'1e:
Address:
Address:
City:
City
Zip: I Phone:
I
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 Commenceme t 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 work or recording your Notice of Commencement.
Signat of Owner/ Lessee/Contractor as Agent for Owner
Sig
ature of Contractor/License Holder
STATE OF FLORI�
ST
TE OF FLOR�
COUNTY OF '�
C
LINTY OF�_�
The for Aing instrument was acknowledged before me
�
Th
for mg instrument was acknowledged before me
J f
this day of J 20AX by
this
day of 2Q f by
�na(IeI Porwes
1l,&( 7�ZL
Name of pe making statement
I Name of pe son making statement
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type Identification
Type of Identification
of
Produced
Produced
V
lture
g
of Notary tate of FI rida
(Sig ature of Notary Publ -State of lori
\G�Sg���,��y1
//Public-
Commission No.t7c� s Ok '��,
ommission No.4a0q.1 7S �gSP�( c9 p2�
4M iU�,,,
F1
=
,.
REVIEWS
FRONT -�':�
a �-
SUPERVISOR
PLANS
VEGETATI ';;;
e:
0. TLE
MANGROVE
COUNTER
IEW
REVIEW
REVIEW
REVIEW€'•
VIEW
REVIEW
DATE
RECEIVED
DATE
,
COMPLETED
Rev. 8/2/17