HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 'Q
Date: 4/28/2018 SCANNEDPermit Number:
BY
• St Lucie County io
Building Permit Application aEtiv
Planning and Development Services gl 0.i I0
Building and Code Regulation Division ittl Department
2300 Virginia Avenue, Fort Pierce FL 34982 Pet �eC1e Counhl
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ye
PERMIT APPLICATION FOR: Gas tank El
PROPOSED IMPROVEMENT LOCATION:
Address: 7802 Hibiscus Rd. Fort Pierce, FL 34951
Legal Description: Lake wood park - unit 5 - blk48 lot 12
Property Tax ID #: 1301-605-0212-000-3
Site Plan Name:
Project Name: Gill
Setbacks Front10
Back: 10 Right Side: 5 Left Side: 5
DETAILED„DESCRIPTION OF WORK:
Installing a 500 gallon underground tank and underground lines to a generator.
Lot No.12
Block No. 48
CONSTRUCTION INFORMATION:
Add Itiona I work to eMe orme Under this permit c hecka apply:
IIHVAC LJ Gas Tank ❑✓ Gas Piping, _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers E] Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 2400.00 Utilities: Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBobbyGill
Name: GamaPortales
Company: Ferrellgas
Address:7802 Hibiscus Rd.
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone No.772-287-4330
Address: 3232 Se Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No. 772-287-4330
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: emilygalen@ferrellgas.com
State or County License: `Tv
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
dNEER: _ Not Applicable
Name: Bobby Gill
Address: 7802 Hibiscus Rd. Fort Pierce, FL 34951
City: Fort Pierce State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 3232 Se Dixie Hwy
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
N a m e: Gama Portales
Address: 7802 Hibiscus Rd.
City: stuart State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 priorto 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 vour Notice of Commencement.
I 11�y
Signature of Owl er/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 1- �e1 I,QI.Y�3kn
The forgoing instrument was acknowledged before me
this I day of RMA 204 by
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Nrk)ry Public -
Commission No.
EMILY'GALEN
116 COMMISSION # G(
EXPIRES: December
Braided Thru Notary Public t
REVIEWS I COUO TER I REVIEW I NT ZONINGS UPERVIREVIEWOR
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
STATE OF FLORIDA
COUNTY OF Kadin
n
The forgoing instr ent was acknowledged before me
this __L day of 20j& by
Name of perso ma in statement
Personally Known _ V OR Produced Identification
Type of Identification
Produced
Cw o 0
l(e?%f Notary Public- St ecLlla'„ rida�--"—GptEN
I�Ig2m sion No. We , :o< (Seal) m,5,
2021 °Bonwr rhru (Votary Public uru
PLANS
REVIEW I VREVIEWON I SEA REVIEW TURTLE
VEWLE I M EVIEWVE
EMILYGALEN
MY COMMISSION # GG 165462
EXPIRES: December 5, 2021