HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO LSCOMPLETED FOR APPLICATION TO BE ACCEPTED _Dat CCANNPermit Nu er: o� v /
E I V E D
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Building Permit Applicati n AUG 0 7 2018
PlanlIingand Development Services P@rf7llttl� Department
ng and Code Regulation Division fit, LUCK County, FL
230C Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial eSl en la
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRO OSED'IMPROVEMENT LOCATION:
Addre Zescri
- 11001 RIDGE AVE
Legalption: B S HARRIS' S/D BLK 5 LOTS 9, 10, 11, 12,13 AND S 4 FT OF LOT 14-LESS RR R/W (OR 2689-533, 534: 2860-1059
Propetty Tax ID #: 3532-503-0069-000-8
Site PI n Name::
Projec Name: O
Setba Iks Front 10 Back- 10 Right Side: 10 LeftSide: 10
DETAIILED DESCRIPTION OF WORK:
Lot No. 9, 10, 11, 12,13
Block No. 5
INSTALLATION OF 250 GALLON"UNDERGROUND LP TANK AND LINES TO GENERATOR
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CON TRUCTION INFORMATION:
iti na wor to e e rme under this permit— check a app y:
VAC _ Gas Tank . W]Gas Piping _ Shutters Q Windows/Doors
0I lectric F� Plumbing Sprinklers FIGenerator Roof Roof pitch
Total S . Ft of Construction: S Ft. of First Floor:
Cost o Construction: $ 3165.85 Utilities:�Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ', regory AND Kenneth D Steiger
Name: GAMALIEL PORTALES
Addresl 11001 RIDGE AVE
Company: FERRELLGAS
City: %RT PIERCE State: FL
Address: 3232 SE DIXIE HWY
Zip Co e: 34982 Fax:
City: STUART State: FL
Phone o.
Zip Code: 34996 Fax: 772-287-3456
Phone No. 772-287-4330
E-Mail
I
e simple Title Holder on next page (if different
E-Mail: emilygalen@ferrellgas.com
Fill in f
from t
e Owner listed above)
State or County License:
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU�PI,EMENTAL
CON, T,RUCTION LIEN LAW IN4EORIVIATION'
L
DE
Na
IGNER/ENGINEER• Not Applicable
e: THOMAS COLLINS
MORTGAGE COMPANY: _ Not Applicable
Name: GAMA PORTALES
ress: e519 LAURELWOOD CT. FORT PIERCE, FL 34951
Ad
Address: 9519 LAURELWOOD CT.
Clt
Zip
: FORT PIERCE' State:
Phone
City: STUART State:
Zip: Phone:
FEE
Na
SIMPLE TITLEHOLDER: _ Not Applicable
e:
BONDING COMPANY: Not Applicable
Name:
ress:3232 SE DIXIE HWY
Ad
Address:
City:
Zip
City:
Phone:
Zip: Phone:
vw11Crc/ LUIM I KAL I UK AML)VI 1: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert that no work or installation has commenced prior to the issuance of a permit.
St. Lu a County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which s 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 con ideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work
in acc rdance 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,
accessl ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com ,
encing work or recording our Notice of Commencement.
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O—Q.-Ok
Sign inure of Owner/ essee/Contractor as Agent for Owner —Sig"nature o Contrac r/License Holder
STATE OF FLORIDA �� STATE OF FLORIG�
CO ��ITY OF �' COUNTY OF _ 1"l CA 1
The 11MCAk
ing instr ent was acknowledged before me
thisday of u 20 by
l-P;a 'Po�.irp.(7
Name of person aking statement
Persc ally Known OR Produced Identification
Type�flclentification
Produced
The forgoing ins tr meet us acknowledged_before me
this day of W �� 20—M by
-e
Name of perso aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
C�� 1
ture f ota
(Sign
(Signature of tary
X?� to 0 orI
E Y ALEN
fission No.
;, ; . ,; MY comml�l # GGJ
__.,Commission
No.
YGALEN
" :*= �' COM I # GG 165462Coin
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fir! PubUC UnderWrl(Oro
REVI
EWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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DATE
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Rev. 8/Z/17