HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �)
Date: 01/21/2018 Permit Number: �d �Sa�
SCANNEDD
•
Building�Pue�rmi %plication RECEIVED
Planning and Development Services
Building and Code Regulation Division I JAN 2 3 2018
2300 Virginia.Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R oXntY, Permitting
PERMIT APPLICATION FOR: Ga`s tank
PROPOSED IMPROVEMENT LOCATION:
Address: 18604 Kitty Hawk Ct, Port St Lucie,�FL 34987
1
Legal Description: AERO ACRES BLK 2 LOT 6 (2.089 AC) (OR 2898-2436)
Property.Tax ID #: 3215-801-0035-000-2 1
Site Plan Name: I
Project Name: Torell Residence
Setbacks Front 10 Back: 10 Right Side: 10 Left Side: 10
I
DETAILED-DESCRIPTIOUCIF WORK.
Install new 1000 gallon LP gas tank and�gas line to generator
Lot No.2
Block No. 6
El
CONSTRUCTIONINFORMATION:
i 9
Additional work to be i3e orme under t is permit it —check ec
OHVAC L Gas Tank ✓ Gas Piping
❑a
a
apply:
Shutters
Windows/Doors
_I
_
Electric El Plumbing
[]Sprinklers
E Generator
a Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 5,122.83
Utilities:
Sewer
Septic
Building Height:
OWNERAESSEE:,.-
CONTRACTOR:
Name Peter & Pamela Torell
Name: GAMALIEL PORTALES
Address:18604 Kitty Hawk Ct
Company: FERRELLGAS
City: Port St Lucie State: FL
Address: 3232 SE DIXIE HWY
Zip Code: 34987 Fax:
City: STUART State: FL
Phone No.772-971-1777
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
from the Owner listed above)
State or County License: 01237
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
I Not Applicable
BONDING COMPANY: Not Applicable
Name:
I
Name:
Address:
Address:
City:
I
City:
Zip: Phone:
Zip: Phone: I
OWNER/ CONTRACTOR AFFIDVIT:IApplication 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 1 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
commencing work or recording vour�lNotice of Commencement.
C Ic
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLORIPA
COUNTYOF COUNTY OF i"iC/1�
The forng instru�.ent was acknowledged. before me
this�ggi
i day of _ JaAAWAW , 20_0 by
Name of per n making statement
Personally Known OR Produced Identification
Type of Identification
Produced
The forpgjng instrument was acknowledged before me
this 4 ay of� 20—d by
_v, and let { w"s
Name of pe7n making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of NotaryAte Public- to of Flo da) (Sign ure of Notary Public- S to of Flori
�)
Commission No. 0 ( S ( votO�SgER� �55 Commission No.a UgIIS-1 Sep 5�
Og V GG
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REVIEWS FRO :r. ERVISOR PLANS VEGETATI �' =T MANGROV
COUN;, „, REVIEW REVIEW REVIEW -, REVIEW
RECEIVED
COMPLETED
Rev. 8/2/17