HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe II
ALL APPLI BLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEPT ED .
Date: �3�� Permit t✓ umber:
�., BY RECEIVED
• AUG!32018
Building Permit Applicatio
Planning a d Development Services 5T. Lucie County, Permitit�L
Building a I Code Regulation Division
2300 Virgi 'a Avenue, Fort Pierce FL 34982
Phone: (7 2)462-1553 Fax: (772)462-1578 Commercial _ Residential_
PERMIT' PPLICATION FOR: Fuel
OP P ar rltlPt41lEN T i;lS
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Address: 1-45 T vnbw1r•1GC
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Legal Descr 'ption:
Lot No. 33
Property TaXID
111 V�.1 Block No.
Site Plan N e:
Project Na II e: Sv l t 14Nn
Setbacks (Front i Back: % Right Side: % Left Side:
Pv,,, A ------------
M1 1 q _ s7 5
t
4 I3ESCRaPti01 flF VI�J 3" t
p.ETa�I
5,Ai 250 9j,11an *u lj( anol f VA 1;nC �O 9 "150,+01'.
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C�I<tST GIOIv {IOIIA�IO#V`�
itiona , vork to be - e orme 4un er t is permit— c ec . a apply:
❑ElHVA Gas Tank .Gas Piping — Shutters Windows/Doors
Electc 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft 'Construction: S . Ft. of First Floor:
U5eptic
Cost of Con truction: $ ZZ�9.33 _ Utilities: Sewer Building Height: _
OIIII1/
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ESSE�
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r-,� �� %✓�-�
Name: Larry Licastri
Name
S
Address:
Company: Amerigas
7 Sv n,he f C �� /fir
Address: 3301 Oleander Ave
—� c� State: /= L
City:
C r
Zip Code:
Fax: .�
City: Fort Pierce State: FL
Phone No. �'�
Zip Code: 34982 Fax: 772465-8448
Phone No. 772-633-0740
� /v � '
E-Mail:
j Fill in fee si
,
E-Mail: Brian.Pearl@amerigas.com
ple Title Holder on next page ( if different
Zer
State or County license: 02707/28579
from the'01
listed above)
If value of c
� ,I
struction is $2500 or more, a RECORDED Notice of Commencement is required. .
DESIGNER'
ENGINEER:
Not Applicable
.MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
I
Address:
City:
l
State:
City: State:
Zip:
�I
Phone
Zip: Phone:
FEE SIMP'
TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: III
Address:
City: ,III
City:
Zip: III
Phone:
Zip: Phone:
OWNER/ C NTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that o work or installation has commenced prior to the issuance of a permit.
St. Lucie Cour , yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co flict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Ple se consult with your Home Owners Association and review your deed for any restrictions which may apply.
In considerati n of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordanc�l 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
W OWNER: Your failure to Record a Notice of Commenceme result in your paying twice for
im rovem to y N
operty. ANotice of Commence a reco ed and posted on the jobsite
e the i inspen. If you intend to obtain fina cing, consu with len r or an attorney before
nmm nri nnrrfina vnur Nntirp of Cnmm �nrement- I
II
n r/ see/Contractor as Agent for Owner
Si ure of License Holder
5STTEOF�FL RIDA
ST E OF F RIDAP
��
COU O �o�eorgoin
instrument w s acknowledged before me
this d, of v 20 by
The forgoing instrument was acknowledged before me
this' day of t� by
II \\20
� d
V U�k��C Cal
Ndrneof person making statement
Nameof pe son making statement
Personally � nown OR Produced Identification
Personally Known OR Produced Identification
Type of Ide tificatior�r,;
Type of Identification:
Produced sv n to Public State of Florida
+• Angela M Boore
Produced v Notary Public Statd,of Florida
nge a Boore
��
My Commission GG A 90609
� � � My Commission GG 7 90609
?�pd Expires 02/27/2022
nr w Expires 02/27/2022
u
NgnI o a ublic- State of Florida)
(Sign - State of Florida )
Commissio l No (Seal)
Commission N )5Q�(Seal) .
REVIEWSII
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
1'1
COMPLETED
Rev. 8/2/17'
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