HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,LIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D Ii e: SCANNpo Permit Number:
Building Permit Application -
RECEIVED
Ro ning and Development Services j
Bu�ldmg and Code Regulation Division
23 90 Virginia Avenue, Fort Pierce FL 34982 J U L III e 098
rIVIIC. I//L)'tVL-1J:7J FCIA.`/141'+VL-1J/O %.WI IIIIIGI GIU II%A 1 IU --
L ie ounty, Nermitono,
PERMIT APPLICATION FOR: Gas tank
PROPOSED IMPROVEMENT LOCATION:
Add
less: 1295 Bennett Rd , Fort Pierce FL 34947
Leg
1/4
II Description. 13 35 39 N 264ft of E 1/2 of SE 1/4 of NW 1/4-less E 30ft and E 115ft N 2 AC of S 5 AC of W 1/2 of NW
bf NE 1/4 (2.52 AC)(or 773-93: 1252-2285: 1408-264: 3268-484)
Pro
Site
Proj
ile y Tax ID #: 2313-124-0001-000-5 Lot No.
Plan Name: ouNDAea.&A Sui2V2%-k Block No.
Ict Name: Conant residence LP
Set,
acks Front Back: Right Side: Left Side:
DE_AILED
DESCRIPTION OF WORK:
incf
II nc%e/ Gnn nnllnn I P fnnle in coma Inrr-mfinn of nlrl 91i1`1 nallnn I P fanlr fn hn ramnvarl
inst�lll gas line from tank to new generator permit # 1805-0190
COIUSTRUCTION INFORMATION:
AdEp:tional work to be ne orme under this permit — check a apply:
EjHVAC I I Gas Tank ❑� Gas Piping _ Shutters ❑ Windows/Doors
RElectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Tota ISq. Ft of Construction: _
Cost f Construction: $ 2467
S Ft. of First Floor:
UtilitiesSewer Septic Building Height:
01JN.ER/LESSEE:
CONTRACTOR:
Name
Addr
Anthony Conant
Name: Brian Critoph
I ss: 1295 Bennett Rd
Company: C and C Diversified
Fort Pierce State: FL
City:
Address: 7954 SW Jack James Dr
Zip
Mode: 34947 Fax:
City: Stuart State: FL
Pho
E-Mall:
Fill in
a No.
tony.conant@bldr.com
Zip Code: 34997 Fax: 772-266-4679
Phone No. 772-266-4680
I fee simple Title Holder on next page ( if different
E-Mail: info@ccdiversifiedgas.com
from)
the Owner listed above)
State or County License: 21079 state 23598 county
If valop of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S Rf
LEMENTAL CONSTRUCTION LIEN LAW IN'FORMATION':
DESI
Nam
Address:
City:
Zip:
I NER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: I
Zip: Phone:
State:
Phone:
E
FEE
Nam
Add
City:
Zip:.1
IMPLE TITLE HOLDER: Not Applicable
I FMP L E—
—
BONDING COMPANY:, Not Applicable
Name:
Address:
City:
I
l
I
i
�ess:
Phone:
I
Zip: Phone:
I
that no work or installation has commenced prior to the issuance of a permit.
St. Lul ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whit is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work l
in acc rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. l
The f Ilowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use l
WARNING TO OWNER: Your:failure to Record a Notice of Commencement may result in your paying twice for j
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo a the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com encinR work or recording your Notice of Commencement. I
Signature of Owner/Le ee/Contractor as Agent for Owner Signature of Contract r/License Holder
STA E OF FLORIDA STATE OF FLORIDA
COU TY OF— A►/'��j17 COUNTY OF ,;WAew-
The Ibr oing instrument as acknowledged before me
this day of 20,/y
(Nam of person acknowledging)
(Si ture of Notary Public- Statel Florida )
Persc ally Known OR
Type f Identification Produce JAMESW.P%SIIGEtmy COM
*= E1,CPIRES: January 21.
Com lission No. % /?OitU ` o�0�9 ThruNotaryPublicUni
Retised. 07/15/2014
The for ling instrument was acknowledged before me
this day of , 20�le by
/'/ 419 'l. L/l� i
(Name of person acknowledging)
gnature of Notary Public- State of Florida) i
i
rsonaliy Known OR Produced Identification - --
Ape of Identification Pr „ ,,... ieruFCW.PADGETT IE !
on N
MY COMMISSION # FF 944078
EXPIF -1guary 21, 2020 I
Bonded Thru ota�! Public Underwriters
RE
EWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
i
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COM
LETE
INITI
LS