HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE
te: 07/31 /2018
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 3,
e: (772) 462-1553 Fax: (772)
FOR APPLICATION TO BE ACCEPTED
Permit Number:
SCANNED
Building Permit Application S$ Lu�By RECENED
O�C®0" yAUG 16,1018
Weeirmsit� DS��tof 6*
82 Sig I c6t
62-1578 Commercial Residential x
P
� RMIT APPLICATION FOR:
Gastank
P
,OPOSED IMPROVEMENT L'
CATION. "
ess: 2105 NW Greenbriar Lane I
Description: Greenbriar Village
City, FL
lour Ridge -Plat 2 - Unit 19
Pr Iperty Tax ID #: 44Z5-iul-1.11.155-uu -J Lot No.
Sitq Plan Name: Tulgan Block No.
Pr ''ect Name: Tulgan
Sel batiks Front Back: 30 — Right Side: z Left Side: 3,
DiTAILED DESCRIPTION OF ORK:
r
Ins,�all 500 gallon LP tank, UG gas line and final connection to Range
CONSTRUCTION; IN'FORIVIATI N g
AI itiona workto je orme under this permit — check a apply:
HVAC Lr I _ Gas Tank Gas Piping 0 Shutters Q Windows/Doors
11L_I Electric Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Co of Construction: $ 2485.00 UtilitiesInSewer Septic Building Height:
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Name: Paul Drag�I
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State-V
Company: Paulie Propane & Natural Gas Systems, Inc.
Address: 4100 SE Salerno Road
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772/220-2616
Code: 3qjq Fax:
� I ne No.
ail:
n fee simple Title Holder on next
n the Owner listed above)
,
page (if different
E-Mail: pauliepropane@gmail.com
State or County License: 24441 / 25602
IT v1pe oT construction is w5ou or more a RECORDED Nottce of Commencement is required.
SUPPLEMENTAL"
C6 NSTRUCTION
LIEN LAW INFORMATION.
DIIme:
N
C
Z
SIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Paul Dragi
Address:
City: Stuart State:
Zip: Phone:
I.
T d reSS: 2105 NW Greenbriar Lane Palm City, F
ty:
State:
Phone
F
N
A
C
Z
: E SIMPLE TITLE HOLDER:
;
me:
dress: 4100 SE Saiemo Road
y:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
� Phone:
Zip: Phone:
OV NER/ CONTRACTOR AFFIDVIT Application is hereby made to obtain a permit to do the work and installation as indicated.
I c ify that no work or installation has dommenced prior to the issuance of a permit.
St. !ucie County 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
str4 ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In c brisideration of the granting of this re uested permit, I do hereby agree that I will, in all respects, perform the work
in acordance with the approved plans, t ie Florida Building Codes and St. Lucie County Amendments.
i
The following building permit application are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fe ices, walls, signs, screen rooms and accessory uses to another non-residential use
Wi RNING TO OWNER: Your failure to Record a Notice of Commence may result in your paying twice for
im rovements your prop rty. A Notice of Commencement mu be corded an osted on the jobsite
be're the firs Ins ction. ff you intend to obtain financing, cons It wit leder or n ,attorney before
co ; mencin� work o recorldi'ng vo r Notice of Commencement. 1 I f /1
;
1
k[Ti-A /Ih
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nature of O n r/ Lessee C ctor
s Agent for Owner
Signature ontractor/Licens o r
Si
S
.11ATE OFF .0 IDA -
STATE OF FLORIDA
C,,
UNTY OF l
„n
COUNTY OF I I ` Ayat'n
TN
forgoing instru ent was ac owledge.4
before me
The forgoing instrument was 4cknowledged before me
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this
o2
_L
this 5 of 20ip�by
Name of persox
making staterr
ent
Name of persorytfiaking statement
Personally
Known OR Produce
Identification
Personally Known �I// OR Produced Identification
T
e of Identification
Type of Identification
Prl
duced
Produced
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���GNEpIYI STp��ii,��
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nature of Nota blic- State o to
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(Signature of Notary lic- State of rioW ?o� 9�•� 's
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mission No. i
.(SeipF909203
Commission No. .(Se 909203
VIEWS
FRONT
ZONING
I4006VISOR
PLANS
VEGETATION
iiq�
SEA TURTLE
+, STA uu``,
RAIW�GROVE
j
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D'E
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EIVED
D
C6MPLETED
E
Rev. ,�/2/17