HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALI. APPLICABLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEFrED
Date:
Permit II umber: I
l
RECEIVED
Building'Permit Application NOV 2 12018
Planning and Deve-lopmentServices ST., Lucie County, Permitting
'-
Buil�ing and Code Regulation Division
2360Virginia Avenue, Fort Pierce FL 349,92 Commercial Residential
Phone: (772) 462-1553 Fax: (772) 462-4578
PERMIT APPLICATION FOR: Fuel
e4' St Lugja�
Addre!ss: .3) 1
I %
Legal Description:
Lot No.--2:—
Property Tax ID #: 5 QZ QP07- 000
Site Plain Name: rw'A 5 Block NO.
1 cS 5-4-4
Projec� Name: Back:
Setbacks Front �10 ___L0 Right Side: Left Side:
'�" -��Jk
av t--, 500 91,110,1 +gk e-AC! ran
?eAr.,,+,or &vbe- -F,'Y-f-PAQ-,
ke��&_91ns Y-4ng
Gas Tank Gas Piping
❑ Plumbing nSprinklers
app Y:
Shutters F]Windows/Doors
Generator 13 Roof
I S Ft of First Floor:
Total Sq. Ft of Construction:
Cost of Construction: 0-(0 Utilities: Sewer USeptic
Name I �Oyp d- A,-tZj' M6LI'AS
Address: —T)-IZ—C-
State: Y—L
City:
Zip Code: Fax: -------
Phone No. 34 z 1
Fill in fee simple Title Holder on next page ( if different
from thle Owner listed above)
Building Height:
Name. Larry Licao
Company: Amer�ag
Address: 3301 Oleander Ave
City: Fort Pierce State; FL
- 34982. 772465-8448
Zip Code. Fax:
Phone No. 772-633-0740
E-Mail: Brian.Pear@amerigas-corn
State or County license: 02707/28579
iv�,�nstruction is $2500 or more, a RECORDED Notice of Commencement is required.
40
DESIGNER/ENGINEER: _ Not
Name:
Aaaress:
City: State:
Zip:! Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
Zip
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie 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
structure. 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 foillowing 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
WART G TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
i rovem our property. A Notice of Commencem mus e r rded and posted on the jobsite
b the ' ins ection. If you intend to obtain financin consult th len r or an attorney before
c menci ork r recordinR vour Notice of Commence nt.
re
ntractor as Agent for Owner Sig ature of Co—oTtr'actaP/License Holder
ST OF LORIDA STAT QFEORIDA
COON OF S\- COUNTY OF -Sk- la7CIsZ
The forgoing instrument was acknowledged before me
this day of WZwe�kINn , 20 tV by
Name Jf person making statement
Personally Known 2 OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Stoe ida*tary Public State i
Angela M Boore
Commission No. t S Commission GO
I
OF ires02/2712022
The forgoing instrument was acknowledged before me.
this Iq day of VQZMR—IYtnhlQi" 20_% by
Name of per on making statement
Personally Known 2_ OR Produced Identification
Type of Identification
Produced
re of Notary Public-itao ro lorWAa)yPublic State,
= Angela M Boore
;ion No d ,jam ftlemissionGG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17