HomeMy WebLinkAboutappAll APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U 0 Permit Number:T 2L
l/
RECEIVED ---
JUN 2 8 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT TYPE: Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 10725 Schwab Rd
Property Tax ID #: 2321-501-0016-010-8
Site Plan Name: Townsend
Project Name: Townsend
DETAILED DESCRIPTION OF WORK:
Lot No.4
Block No. BE
Install new gas line, replace existing gas line from existing LP tank to rear of house, Install new gas line to range thru attic and down inside wall, exten ext line another 20' to new bbq grill
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank . 2� Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing —Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2303.18
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Patricia Townsend
Name: Gamaliel Portales
Address:10725 Schwab Rd
Company: Ferrellgas
City: Fort Pierce State: _
Address: 3232 SE Dixie Hwy
Zip Code: 34945 Fax:
City: Stuart State: FL
Phone No. 772-466-1700
Zip Code: 34997 Fax: 772-287-3456
E-Mail: basketlady330@bellsouth.net
Phone No 772-287-4330
Fill in fee simple Title Holder on next page ( if different
E-Mail KimWilkins@ferrellgas.com
from the Owner listed above)
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State or County Licensees 2) Og 1 Z
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
Designer/Architect/Engineer:
Name
Mailing Address
City
Zip Phone
8 Not Applicable I Mortgage Company: 11 Not Applicable
Fee Simple Title Holder's Name:
Name
Mailing Address
City
Zip Phone
Name
Mailing Address
State City
Zip Phone
It Not Applicable
State
Bonding Company:
Name
Mailing Address
Citv
Zip Phone
State
A Not Applicable
State
Notice to Owner: There are some properties that may have deed restrictions recorded upon them. These
restrictions may limit or prohibit the work applied for in your building permit. It may be to your
advantage to check and see if your property is encumbered by any restrictions.
Owner/Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installations as
indicated. I certify that no work or installation has commenced prior to the issuance of a permit.
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 Code 5th Edition (2014) and Martin County
Amendments. Plan revisions on all structures exempted by code from architectlengineer design may be done by
permit holder.
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 job site before
the first inspection. If you intend to obtain financing, consult with your lender or an attorney before
commencing work or recording your Notice of Commencement.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
Agent/Lessee
STATE OF FLORIDA
COUNTY OF MARTIN
The f omg mstnuifnt was acknowled d before me
this day of 20IW by
Gamaliel Portales
(N�mq of Person Acknowledging) \
(Signature of Notary Publib = State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known `' OR Produced Identification
Type of Identification Produced
# FF 063105
USP �Q&Z
Signature, Con ctor/License Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The awoing rostrum t was acknowled d before me
this day of .u!!)RA 20 by
Gamaliel Portales
(Nam of Person A1ic 1kfno gi )
Zr,l WAIli
(Si ature o Nota lic — State o Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known J OR Produced Identification
Type of Identification Produced
(FBC 5th Editio 01 pIRES: Novemtie�Unae e� -.F ° My COMMISSION # FF 063105
oQ' .—AM Thru Notary Pu 'm: •��: CYDIRFR• hinVpmher 28.2021 19
Thru Notary Public
Rev. 11/10/15