HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 2-20-18ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/20/18 ,_�� . -- Permit Number: \'` G —(3
L O R 1 C'-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-15
:ut_R&�
I RECEIVED
10 counw
ing Permit Application FEB 2 - 2018
ST. Lucie County, Permitting
PERMIT APPLICATION FOR: Gas tank
PROPOSED IMPROVEMENT LOCATION':
Address: 7967 Plantation Lakes Dr. Port St Lucie, FL
Commercial Residential yes
Legal Description: Reserve Plantation -Phase jllA-Lot 59(map 33/28N)(or 3446-334:3628-2902)
Property Tax ID #:.3321-803-0063-000-9
Site Plan Name: boundary survey
Project Name: Spec House
Setbacks Front 10' min Back: 165' Right Side: 10' min Left Side. 460'
DETAILED DESCRIPTION OF WORK:
install 500 gallon LP tank UG , install
LP gas lines and connect
Lot No. .
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ne orme under t;is permit —checka apply:
�HVAC LJ Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2489
S Ft. of First Floor:
Utilities:Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name S l e U
Name: Brian Critoph
Company: C and C Diversified
Address: 13L(n S } ed 414 cv
City:- n o 5a a� J Stater
Address: 7954 SW Jack James Dr
Zip Code: � f �5.G Fax: �
City: Stuart State: FL
Phone No.
Zip Code: 34997 Fax: 772-266-4679
E-Mail:
Phone No. 772-266-4680
Fill in fee simple Title Holder on next page ( if different
E-Mail: info@ccdiversifiedgas.com
from the Owner listed above)
State or County License: 21079 state ( 23598 county)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ 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:
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
commencing work or recording your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF i
The forgoing instrument was acknowledged before me
this c day of 7�'rV 2 20 / L by
I
02177'>p1
(Name of person acknowledging)
(Si ure of Notary Public- State of Flo da )
Personally Known OR Produced Identification
Type of Identificationre�duS..
•, DAMES W. PADGM
MY COMMI�&IY FF 944078
Commission No. XPIRES:January21,2020
Bonded Thru Nolaq Public Underwriti
Revised 07/15/2014
.fit., mac. c� s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF j7%�/1T/ti
The forgoing instrument was acknowledged before me
thisa / day of F,-6rv,4 20 /T by
RR-1,981 C--iry�°h
(Name of person acknowledging)
1,4", '�v 7,4,11
rature of Notary Public- State of F ridaally Known OR Produced Identification
Type of Identification ProciucPH -- -----
�;�' y JAMES W. PADGETT
•'?4' = MY CO FF 944078
Commission No. _.. :.:
EXPIRES: an ary 21, 2020
'•Li or �o •` Bonded Thru Notary Public Underwriters
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