HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/14/2018 SCANNED Permit Number: (D
8V RECENED
• i St Lucie ucie Couniy
Building Permit Application WAY 23 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division I St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential YES
PERMIT APPLICATION FOR: Gas tank
PROPOSED IMPROVEMENT LOCATION:
Address: 9519 LAURELWOOD CT. FORT PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB
Property Tax ID #: 1327-701-0063-000-8
Site Plan Name:
Project Name: COLLINS
Setbacks Front Back:
Right Side: Left Side:
Lot No.243
Block No.
I DETAILED DESCRIPTION OF WORK: I
INSTALLING 500TANK AND UNDERGROUND LINES �TO A GENERATOR
CVk m L.P'ra nk
CONSTRUCTION INFORMATION:
Additional work to je� ne orme under this permit —check a apply:
11HVAC LJ Gas Tank ❑✓ Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers E] Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3700.85 UtilitiesSewer R Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTHOMAS COLLINS
Name: GAMA PORTALES
Company: FERRELLGAS
Address:9519 LAURELWOOD CT.
City: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No.
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@FERELLGAS.COM
State or County License: 3OS58
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S l? 'EMENTAL CC,N,STRUCTION
LIEN LAW, INFORMATION:, .
DESIGNER/ENGINEER:
Not Applicable,
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: ,Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 vour Notice of Commencement.
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF WA(,� Al 4 COUNTY OF WA AV)
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this � day of 20 l_by this _VJ day of 20 L9_ by
(Name of person acknowledging) (Name of person acknowledging)
se.Z�CCJN
(Signature of Not ry V
ublic- State of FloridaPersonally Known OR Produced Identification
Type of Identification Produced
1
(Signature of N li State of Florida )
Personally Known 7OR Produced Identification
Type of Identification Produced
Commission No. "I . Commission No.
�� 5 ��.at►�Y';;, EMILY GALEN
`° EXPIRES: December 5 2021
Revised 07/ 15/2 4 °F °Q • Bonded Thru Notary Public Underwd'wm
EMILY GALEN
MYCOMMISSION # GG 165462
EXPIRES: December 5, 2021
Bonded Thra Notary Public Undenxrlters
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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DATE
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INITIALS