HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/05/2018
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BY RECEIVt:D
St. Lucie County
Building Permit Application
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
DEC19 30111
Permitting Department
St. Lucie County
Residential X
PERMIT APPLICATION FOR: Gas tank III
PROPOSED IMPROVEMENT LOCATION: _
Address:
Legal Description: 29/35SI41E
Property Tax ID #: 2529-343-0003-010-2
Site Plan Name: Landers
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Project Name: Landers
Setbacks Front Back: Right Side: Left Side:
DETAILED' DESCRIPTION OF WORK:'
__4L'
Lot No.4
Block No.
Install 1000 gallon LP tank, UG gas Lines, Interior gas lines and final connections to Cooktop, BBQ,
gas torches and generator
CONSTRUCTION INFORMATION:
UHVAC Lr 1 Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: S 8785.00
ucnIII —cnecR au
Gas Piping
Sprinklers
appry:
_ Shutters
Generator
Windows/Doors
Roof = Roof pitch
0
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gwendolyn Landers
Name: Paul Draghi
Address:2720 SW 117th Avenue
Company: Paulie Propane & Natural Gas Systems, Inc.
City: Davie' State: FL
Zip Code: 33330 Fax:
Phone No.
Address: 4100 SE Salemo 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
IT vaiue or construction is $Z500 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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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 TOO NER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvemen to your property. A Notice of Commencement must be recorded and posted on the jobsite
beford the f' st in pection/ff you intend to obtain financing, consult apt lender or an attorney before
commenci a wor or mcdrdine vour Notice of Commencement. / I .1 / l
Sigr a of Owner/ Lessee% trac r as Agent for owner
signature Contractor/Ucens Alder
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STATE OFFLORIDA
STATE OF FLORIDA
COUNTY OF Maitln
COUNTY OF mare
The for oing instr ent was acknowledged before me
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The for oing instrum nt �Wpasagyk�n�o�wledge before me
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this�dayof .20$ by
this
Paul Dral
Paul Dl
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
Produced
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Rev. 8/2/17