HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/11/2018 Permit Number:
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-------- Building Permit Application RE' 6 1330
Planning and Development Services Q3n13D3�d
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gastank
PROPOSED IMPROVEMENT LOCATION:
Address: 4860 Watersong Ft. Pierce FI 34949 NN
Legal Description: WATERSONG PUD PLAT NO. ONE (PB 42-34) LOT 46 (OR 1994-1164) 4Cie
Property Tax ID #: 2532-500-0060-000-3
Site Plan Name:
Project Name: Oney
Setbacks Front Back:
Right Side: Left Side:.
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
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:
itiona wor to e e orme under
0HVAC O-GasTank
tispermit—checka
W]GasPiping
apply:
_Shutters
Windows/Doors
11 Electric OPlumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction: $ 5,345.00
Utilities,
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wade S Oney Elizabeth Oney
Name: Paul Draghi
Address: 5518 Osprey Isle Lane
Company: Paulie Propane & Natural Gas Systems, Inc.
City: Orlando State: FL
Zip Code: 32819 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
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 TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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
improvements our prop rty. A Notice of Commencement must be recorded and posted on the jobsite
before the fi t in edion. ou intend to obtain financing, consult It lender or attorney before
commencingwor or r o i our Notice of Commencement.
1
Signature of tier/ Lessee cto s Agent for Owner
Signature f Contractor/Lic nse Ider
STATE OFF RIDA
STATE OF FLORIDA
COUNTY OF Marna
COUNTY OF Mom-
The forgoing ins Vent was acknowledged before me
this 11 day of C_e 20 6L by
The forgoing ins ment was acknowledged before me
this _(L_ day of g4 20Lb by
Paul Draghi
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
Produced011AS
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(Signature of I of Public -States FI • Slog •.vF rrrr
�•�c°ttaeal q eYo:• $
Commission No. b _� ; �yi�°ea S •.'°�9N•:
ixo : kFF909203
(Signature of N ary ublic- State of Florid�attttlllilllllry/'
n/� \\�������ERYL SrON� �rrr
Commission No. —1 03 2`� •�SIoryF ram.
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REVIEWS
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DATE
RECEIVED
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DATE
COMPLETED
Rev.8/2/17