HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 12/n/2018 Permit Number: l
RECEIVED
Building Permit Application DFC 9 (ulo
ST. Lucie County, permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
'A1a -040C
Residential X
PERMIT APPLICATION FOR: Gas tank
PROPOSED IMPROVEMENT LOCATION: t -g
Address: 4832 Watersong Ft. Pierce FI 34949 GO�� �^
Legal Description: WATERSONG PUD PLAT NO. ONE (PB 42-34) LOT 39 (OR 4085-2182) 0949'
Property Tax ID #: 2532-500-0053-000-1
Site Plan Name: Arbucci
Project Name: Arbucci
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: '111
Install 250 gallon LP tank, UG gas Lines, interior gas lines and final connections to Cooktop and
Fireplace. Stubs for future generator and BBQ
CONSTRUCTION INFORMATION:
OHVAC LJ Gas Tank 7Gas Piping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,000.00
Shutters ❑ Windows/Doors
Generator D Roof = Roof pitch
S Ft. of First Floor: _
Utilities:ll Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mario Arbucci
Name: Paul Draghi
Address: 850'NW Federal HWY Ste 461
Company: Paulie Propane & Natural Gas Systems, Inc.
City: Stuart, State: FL
Zip Code: 34994-1019 Fax:
Phone No.
Address: 4100 SE Salerno Road
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772/220-2616
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: pauliepropane@gmail.com
State or County License: 24441
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 4100 SE Salemo Rwd
Address:
City:
City:
Zip: Phone:
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 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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvement o your property. A Notice of Commencement mustfima, recorded and posted on the jobsite
before the f st Inspectio . If you intend to obtain financing, cons th lender or n attorney before
commencing w rk or r c .rding your Notice of Commencement.
A"IL
Signature Owner/ Lessee/ ractor s Agent for Owner
Signatur of Contractor/Lice 9' older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Marlin
COUNTY OF Mm -
The fingins mentwas a knowledged before me
The for oing instrbuient wasa cnowledge before me
this day C 20
this day of 20 by
of Cy
Paul Dmghi
Paul Dmghi
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
(Signature of of Public- State Florij•\
Produced
OLtct
(Signature of Nota P lic-State of Florida )
of PyL 8T0
Commission No.(Sm[J,wU5SI0ryF,'�•.•Commission
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Rev. 8/2/17