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Home My WebLink AboutBUILDING PERMIT APPLICATIONri ALL APPLIC ABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: vt kANNE-0 RECEIVE By ----- - - BuilefQW UNApplicatio FFR 2 8 ' 318 Planning and Development Services Permitting Building and Code Regulation Division ST. Lucie County, 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _ PERMIT APPLICATION FOR: Fuel (' p,S i? "I A'.vI Address: y *6 Legal Description: I 9c, /W C PropertyTax lD #: (`i l rb — (33-MO �T Lot No. Site Plan Name: Block No. Project Name: 16C/ i-f— Setbacks Front/ Back: Right Side: Left Side: 13 u�y �� l%On �oPcatic i� '� n, �r /%4,cs.� �� eel Kr��-, ca�rtnP o_GW �z�r-t{ f'��i•�� Additionalwork to e e orme 1]HVAC be under this gGa's permit —check all Piping apply: Shutters ❑ Windows/Doors Tank _ 11 Electric 0 Plumbing oSprinklers Generator Roof Total Sq. Ft of Construction: I dd a% S Ft. of First Floor: ESeptic Cost of Construction: $ `Z % �s `f Utilities: _ Sewer Building Height: �.� ONTRACT Name o.. C5 Name: Larry Licastri Address: lL <a-1,' ; .� Company: Amerigas City: y�'©f-G2,P State!✓ Address: 3301 Oleander Ave Zip Code: Ty G �f Fax: City: Fort Pierce State: FL Phone No. Zip Code: 34982 Fax: 772465-8448 E-Mail: Phone No. 772-633-0740 Fill in fee simple Title Holder on next page ( if different E-Mail: Brian.Pearl@amerigas.com from the Owner listed above) State or County license: 02707/28579 If value of construction is $2500 or more, a RMORDtu Nonce or commencement is requires. i Y �:..'t`.l�aH �`T> ..(tom 31i -ne' `}.`t x(`..+' t'.-.i R fit' t•. x<u`;:- { ^i 1tV a 3=' ✓' Y +�y3a..✓rr'�.rNNE'- gpege F'�4GV, ii� 31�i M7 l YYt '� 7 • �. TT v tg tt1�+t b L,Mli�a,n �.•+-� : A 4 ,!'� ,� k5. �k��.�..lr. -,fy �l+ L; 7,5� r.$1 rs_ th' i�ruitlt•i.}S... Tid.: �`+'. » {fit . -4'� _...i^: ^...+ „ya47 lr .�S' .3F}� x�}RN i,y 2'ae lijF�_a-}I/-t9' l'?x+'3'`i `('i'1.� i+iPt! ..�" '+0o' fLv Y dt NIP "3t'-Y• n� -' L n -- �i .y.- s r x.',Fr cti' rS -fit �� r t3"4.iA DESIGNER ENGINEER: Not.Applicable MORTGAGE COMPANY: of Applicable Name: Name: Address: i Address: City: Stater City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: "ot Applicable Name: Name: EJ Address: Address: City: City: Zip: Phone:. Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit; I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for im ments to your property. A Notice of Commencement must be recorded and posted on the jobsite fore t fir$nectlon. if you intendlto obtain finan ' ,, c� sutt Ijender or an attorney before .\.__�.1nmmanM�ant� n1coval ln T- i I _ Signatuof Agent/ Lessee a ure o ntiactor/Lcense Holder YA S1• LUC I RIDA S 1 COUNTYOF COUN OF The for oing instru n was acknowledged before me this? day of 20�by The forgoing instrumen was acknowledge before me this f� _ day of T u^*!� . 20L by r Li cc�Sfi�i Lar U casS y ► (Name ofperson ac owledgin ) (Name of person ackno dging ` C� (Signature of Votary Public- State of Florida ) (Signature ofTlotary Public- State of Florida) Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of identification Produced Type of Identification Produ AMBER L DIAZ Commission No. 9 ; eFAVERLD MISSION omm ssionNo. C&14 :••e M'�3WQMISSION4FF95614 ':, 01. 2020 7t F 9$g145 :,,�• ��. EXPIRES February ES Februa 0 i.-I � s own REVIEWS FRONT ZONING FbnWNotw nvwe. SUPERVISOR S VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED KeV. //CU14 404.