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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,r- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I'I Da e: 8/�18 Permit Number: �. • RECEIVED Building Permit Application Pla►►n►ng and Development Services AUG 10 2018 Bull�ding and Code Regulation vision ST. Lucie County, Permitting 2309 Virginia Avenue, Fort Pierce FL 34982 Ph q�e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PER1} IT APPLICATION FOR: Gas tank PROPOSED 'IMPROVEMENT LOCATION: A Addr 'Iss: 12351 Cessna Terrace, Port St Lucie, FL Legal1,Description: Air park of Port St Lucie Lot 45 NL17Z4 so i 42 24 501 0045 000 5 45 Prop irty Tax ID #: Lot No. Site F Ian Name: Boundary survey Block No. Projelit Name: Varga residence Setb ,cks Front 150' + Back: 130' Right Side: 100'+ Left Side: 150'+ I' DETAILED DESCRIPTION OF WORK: instal 500 gallon LP tank and 25' of line to new generator (installed by others) CONSTRUCTION INFORMATION: i Iona workto e�jje orme under this permit -check a apply: HVAC LJ Gas Tank Gas Piping _ Shutters Q Windows/Doors RI (Electric ❑_ Plumbing Sprinklers Generator ' Roof Roof pitch Total qConstruction:$ Ft of Construction: S . Ft. of First Floor: Cost '�f 2400 Utilities: _Sewer Septic Building Height: OW !ER/LESSEE: CONTRACTOR: Nam I VAra Wi I1tAm AWh AAAAra Name: Brian Critoph ss: 19351 Cc 5sw h TGrr ffcF Addr Company: C and C Diversified ST. Lint E ; State: FL. City: Address: 7954 SW Jack James Dr Zip C%de: Phon I?QCA- 30 8 i Fax: I No. 7*7 a - l0 3 ► - g y 47 City: Stuart State: FL Zip Code: 34997. Fax: 772-266-4679 V a i G. Cio rA E-Marl: Phone No. 772-266-4680 fee simple Title Holder on next page ( if different (he Owner listed above) Fill in from E-Mail: info@ccdiversifedgas.com State or County License:-;5*9ftounty / 21079 state .1 S5 CN it value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: State: Phone: I I FEE Naml' Add city: Zip: SIMPLE TITLE HOLDER: _ Not Applicable : BONDING COMPANY: _Not Applicable Name: ess: Address: City: i .I Phone: I I Zip: Phone: that no work or installation has commenced prior to the issuance of a permit. St. Lu ie 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 struct re. 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 acc'rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The f illowing 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 comrhenciniz work or recordine vour Notice of Commencement. '_- ./ff A!= /y! 4<& s Signa bre of Owner/Lessee/Contractor as Agent for Owner Signature of Contra cto icense Holder STA E OF FLORIDA y� ,�� STATE OF FLORIDA COUNTY OF COUNTY OF ,�/�liI"1r1�7 The f 'r oing instrum t was acknowledged before me this day of Z!� 200/QE-by li of person acknowledging) fgnature of Notary Public- Stafe of Florida ) Personally Known !/ uce IdAPritific�fi Type of Identification Pro � ': MYco'WWSrON FF sonde hlu otaryPublic Underwriters it Commlssion No. ,>1 ,�'_ _ _ Ne 07/15/2014 The forgoing inst=�C/ acknowledged b fore me this _r day of 20 ?by i (Name of person acknowledging ) (Si ature of Notary �Public- StatLfof Florida ) Personally Known !/ OR Produced Identification Type of Identification Produced Commission No. JAMES W. PAUGt 11 (8 l8Q$MMISSI0N # FF 944078 EXPIRES: January 21, 2020 Bonded Thru Notary Public Underwriters REVIEWS 11 FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE LI COMPLETE INITIAS Sll�kPIEIVIEN`fAL rt �,. ,� v �. �, � .e� '� ,,.. -� � C..NST{yRUCTION L�EN4LAW 1'NCRN)iATINaY5�rt Y Y,. � � � '1 �+te"3! '� t) �r4'l`:.. . .5h,� y 4f, �, a.S �� d S � � t�i A: Y'� G<� *, dC� �. .,•^ 4s �' K ; ;3 u� xr ice: t w � 3 <h�rf �" "/ � F ''4 YI '�.'. 1{L � :. t rE � ] 4 �7 *'d.t �. C �.i,'i'�' •!' l� � A,F DE IGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Na Ad e. _ Name: Address: ress: Cit zip: City: State: Zip: Phone: t State: ,l Phone: �I FE0 Name: IMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable Name: Address: Address: Cit Zip:; � City: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. L Icie 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 stru lure. 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 IIIllowing 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 WAII NING 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 com'mencine work or recordine vour Notice of Commencement. as Agent for Owner 7I.M I,G�Vr f LV,RI V/1,_ . _. '� `.":•:�f_s,`;5t..>S-Si.;�.}' CO "NTY OF „'. The forgoing.. instrument was acknowledged before me this, I�'� ` ' day of , 20 _by Nar>i;e of person acknowledging Tce ofzNotary:;Rublic-_State;of.Florida ) Ily Known OR Produced 'ldentificati6n` Identification Produced r 07/15/2014 iffA=-zL& s Signature of ContractorfLicense Holder STATE OF FLORIDA COUNTY OF ,//�riI''Ti�! The forgoing instrum t was acknowledged b fore me this _r day of 20 by �O�i (Name of person acknowledging) (Si ature of NotaryPublic- Stat , F Florida ) Personally Known 11�OR Produced Identification Type of Identification Produced JAMESW. PADGETT Commission No. (®iEMISSION # FF 944078 = EXPIRES: January21, 2020 ^;•'�: .;� •:,,dS••' Bonded ThruNotary public Underwriters REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE • III COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW .DATE COMPLETE INITI�II LS