HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FO APPLICATION TO BE ACCEPTED +Q�
Date: 3/15/18 Permit Number: 1 h'l 3 — 0
RECOW
Bu , �� t Application O16 ante
Planning and Development Services
Dep
Building and Code Regulation Division Permittinst. Lucie Countynt
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gas tank
El
RROPOSED IMPROVEMENT COCATiON.
Address: 190 Woodcrest DR, Fort Pierce, FL 34945 1
Legal Description: ORANGE PARK S/D BLK B LOT 4 (1.03 AC) (OR 1174-456)
Property Tax ID #: 2308-501-0017-000-1
Site Plan Name:
Project Name: Hamner Residence
Setbacks Front10 Back:10
Side: 10 Left Side: 10
DETAILED DESCRIPTION OF WORK'
Install one 500 gallon above ground LP ga's tank and gas line to generator.
Lot No.4
Block No.
CONSTRUCTON dINFORMATION.
Additional work to e e orme un
11HVAC Ri Gas Tank
ler t is permit
✓❑Gas
— c ec
Piping
a
_
apply:
Shutters
Q Windows/Doors
11 Electric ElPlumbing
OSpl
inklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 3,433.35
Utilities: 0 Sewer Septic
I
Building Height:
OWNER/LESSEES
CONTRACTOR:
Name Charles W Hamner and Elaine Camacho
Name: GAMALIEL PORTALES
Address:190 Woodcrest Dr
Company: FERRELLGAS LP
City: Fort Pierce state:FL
Address: 3232 SE DIXIE HWY
Zip Code: 34945 Fax:
City: STUART State: FL
Phone No. 772-201-7673
Zip Code: 34997 Fax: 772-287-3456
E-Mail:
Phone No. 772-287-4330 X 22577
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: 30558
If 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
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
I City:
Zip: Phone:
I Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Applicatio l is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commencedJprior to the issuance of a permit.
St. Lucie County makes no representation that is gra
which is in conflict with any applicable Home Owner
structure. Please consult with your Home Owners A�
In consideration of the granting of this requested pe
in accordance with the approved plans, the Florida E
The following building permit applications are exeml
accessory structures, swimming pools, fences, walls,
WARNING TO OWNER: Your failure to Recor
improvements to your property. A Notice of
before the first inspection. If you intend to i
commencing work or recording vour Notice
Signature of Owner/ Lessee/Contractor as Agent
STATE OF FLORID
COUNTY OF IM A
ting a permit will authorize the permit holder to build the subject structure
Association rules, bylaws or and covenants that may restrict or prohibit such
ociation and review your deed for any restrictions which may apply.
mit, I do hereby agree that I will, in all respects, perform the work
hiding Codes and St. Lucie County Amendments.
t from undergoing a full concurrency review: room additions,
signs, screen rooms and accessory uses to another non-residential use
a Notice of Commencement may result in your paying twice for
Commencement must be recorded and posted on the jobsite
btain financing, consult with lender or an attorney before
)f Commencement.
VO
Owner Signature of Contractor/License Holder
STATE OF FLORIP4A
COUNTY OF K
The for gga�ng instrument was acknowledged before' me The for mg instrument was acknowledged before me
this �r'day of Wld�jf2 , 2Q 1 by this day of N(� 20 (by
Name of perso making statement
Personally Known OR Produced Identifi
Type of Identification
Produced
_Ma&�a
(Sign ture of Notary Public- itate of Florica)
Commission No. 44 091751 S
.:�y...:�HV ♦�i CJD
�46,m u E_ Ap 1Zm,0S
Name of person making statement
Personally Known � OR Produced Identification
Type of Identification
Produced
lic
ignature of Notary Public- SVlate of Florid
vp\Gtsg� �1i51
711'S mmission No.4� 09/ 7Sl M��\\ss � ®N � 9 A
# y PUry(jc�•y M`i rQ'
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REVIEWS
FRONT s;�
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RVISOR
PLANS
VEGETATI
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MANGROVE
COUNTS '''
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iREVEEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17