HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ate: 07 18 Permit Number:
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Building Permit Application
P! nning and Development Services 81oZ i l(lf
e �'Iding and Code Regulation Division
2 0 Virginia Avenue, Fort Pierce FL 34982
P ne: (772) 462-1553 Fax: (772) 462-1578 Commercial a 3--11
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PR POSED IMPROVEMENT LOCATION. "
Add ss: 65 Aqua Ra Drive
Lega Description: River Watch Blk 3 Lot 3
Prop rty Tax ID #: 4511-815-0007-000-2 Lot No. 3
Site Pan Name: Eberle Block No.
Proje Name: Eberle
Setb ks Front Back: Right Side: Left Side:
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D,ET, ILED DESCRIPTION,OFWORK:.,
Install, 50 gallon LP tank, UG'gas Lines, Interior gas lines and final connections to aim, Range &
BBQ
CONS RUCTION INFORMATION
a.:.,
Addrti a workto e performed under this permit— check a apply:
O AC I r J Gas Tank W]Gas Piping Shutters a
Windows/Doors
E ctric Plumbing Sprinklers FIRoof Roof pitch
OGenerator
Total SqFt of Construction: S . Ft.of First Floor:
Cost of nstruction: $ ?485.00 Utilities: 0Sewer 0 Septic Building Height:
OWNS ,/LESSEE ,
CONTRACTOR
Name E I (1 q_L.L
Name: Paul Dragi
Address: 5 2U A 2L v?_
Company: Paulie Propane & Natural Gas Systems, Inc.
City: ® SRA� e?_>tA-C*`L State:
Address: 4100 SE Salerno Road
Zip Coe 451 Fax:
City: Stuart State: FL
Phone N a 5Q[ 31—) 413;�
Zip Code: 34994 Fax:
E-Mail: QYl►rI C�ZLJ 0q,U-47 jftf( \
Phone No.772/220-2616
Fill in fee imple.Title Holder on next page (if different
E-Mail: pauliepropane@gmail.com
from the caner listed above)
State or County License: 24441
If value of instruction is $2500 or more, a RECORDED Notice of Commencement is required.
PPLEIVIEN LCONSTRUCTION,LIEN L' ' NFOR--ATION .k r
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SIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
me:
Name: Paul Drasi
dress: 65 Aqua Ra Drive
Address:
ty: State:
City: Smart State:
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Ip: Phone
Zip: Phone:
F
E SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
me:
Name:
dress: 4100 SE Salem. Road
Address:
C
y:
City:
Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ctleCounty
fy that no work or installation has commenced prior to the issuance of a permit.
St. makes no representation that is granting a permit will authorize the permit holder to build the subject structure
wh h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
str' cture. 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 a cordance 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
Wil RNING TO OWNER: Your failure to Record a Notice of Commencement may result i your paying twice for
improvements toneion.
roperty. Notice of mmencement mus a recorded an posted on the jobsite
be, are the first inIf you ntend to o ain financing, con It w' h leader or a attorney before
co mencin worcorAl.ing r Notice Commencemen /I
of Owner/
TE OF FLORIDA STATE Of FLORIDA
1NTY OF_10didtn- 1COUNTYOF tM,&V4,1 I1]
T ! forgoing inst ume t was acknowledged before me
th ay of 20_L2� by
Name of perso aking statement
P sonally Known OR Produced Identification
Type of Identification
Pr duced
of Nota"PP blic- State of
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The forgoing instrument was acknowledged before me
this day of 20a by
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Name of person ing statement
Personally Known _Jool OR Produced Identification
Type of Identification
Produced
(Signature of Nota P ic- State of Florida )
Commission No. 0013L03 $S@gt
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Rev! /2/17