HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: l�
cn
BYRECEIVED
Build"' Permit. ApPliCati011 MAR 0 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fuel I
Address: 2'7- 7S S B�oGS.er 'fti 1< fd
Legal Description: G IJA41,A eA-V
PropertyTaxlD#: 23Zd-.S01-- OOi$-- dd0�6
Site Plan Name:
Project Name: -41C kr 41,.u�
Setbacks Front a l00 Back: 100 Right Side: <� /no Left Side: le 1 OO
Lot No.
Block No. 2
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TION� RUNNFORMCTIOA
Addition wqgil'_�e'rrprrnedunder
un
er t is permit — c ec a
�as
apply:
Q Windows/Doors
11HVAC
Gas Tank
Piping
_
Shutters
11
Electric
Q Plumbing
❑Sprinklers
Ei
Generator
11
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ Z1-1
S Ft. of First Floor: _
Utilities:OSewer Septic
Building Height:
Name 0,f ^-zl.
Name: Lary Licastri
Address: .5W (O A4 .er a -Pr
Company: Amengas
State: f(,
Address: 3301 Oleander Ave
City: 7:; - - -
Zip Code: 3YgS Z Fax:
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-465-8448
Phone No.
E-Mail:
Phone No. 772-633-0740
Fill in fee simple Title Holder on next page ( if different
E-Mail: Brian.Pearl@amedgas.com
from the Owner listed above)
State or County License: 02707/28579
If value of Construction is sz5uu or'more, a KCI.UKUCv NOMA: US ..cyuu cu.
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OES(GNER ENGINEER: Not"Applicable
MORTGAGE COMPANY: ` Lam" Not Applicable
Name-
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone-
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
90NDING COMPANY: Not Applicable
Name:
Name:
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 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
im . ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
fore t fir t-ms�ection. If you intend to obtain finan ' �,-c Itsult�ender or an attorney before
EH n.r �• r4 r rni-rwrr:nn unur Nnticw of rnminen qrm--Pnt
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sigaatur of Agent/ Lessee
a ure ot)F ntiactor/License Holder
STATED RIDA C 1 l�
COUNTY OFrE
���
COUNTY OF J I L
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-
The forgoing Instrurniint was acknowledged before me
The
this dL day of ef( 20_1-1 by
The forgoing instrument was acknowledged before me
this day of Wulv.- . 20-n by
L-amuco sfin
LosN Uku; m
(Name of person ackno ledgin )
_
(Name of person ackn ledging
(Signature of Notary Public- State of FI Ida)
(Signature of Notary Public- StateVrFlorida )
Personally Known _ OF PF d IdentwiRR. I DIA Z
Per onally Known X— O Qd IdentiAdllBJFiR L DIAZ
�•� -
Type of Identification Produce
Tyj1 of Identification Produce •FF0581
4a
E lRES February Ot
Commission No.'� 45 H5 . • •• ' (Sea
erg '. EXPIRES February 01, 202
�°o mission No."'i`�41y5 w�►r�eo�ss Sea rbw .town.
i 3" o� 51 Fbnda avAe.oan
REVIEWS
FRONT
ZONING
SUPERVISOR;
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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W.A.