HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPILE cv FOR APPLICATION TO BE ACCEPTED
Date: 114/19 Permit Num
JAN 0 4 2019
ST Lude Gounty� Parmltelp9
Building Permit Application � -----� ____
Planning and Development services SCANNED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992 BY
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Y Residential St. Lucie County
PERMIT APPLICATION FO
Address: 7369 Commercal Circle
Legal Description:
Property Tax ID #: 1335-802-0047-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Install under ground natural gas piping for incinerators and tie them in.
E1HVAC
LJ Gas Tank
11 Electric
ElPlumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 1500.00
Lot No.
Block No.
imspermit— cnecxan apply:
W]Gas Piping Shutters Q Windows/Doors
Sprinklers Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:n Sewer []Septic
Building Height:
0'' ,NER%LESSEE x E r
Fa-<... .-.s ....,,.�.s.a_....»...,.... . x..,...✓w'!-� r..,r..............4�_
CO'NT,RACTOR'
M. ..w�. c.rr. "
Name Elena, Peluso
Name: Chris Johnson
Address: 6242 Arlington Way
Company: CNJ Plumbing LLC
City: Ft. Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 727-612-1445
Address: 1701 S. 37th St
City: Ft. Pierce
Zip Code: 34947 Fax:
Phone No. 772-801-3073
State: FL
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: chrisjohnson@fpua.com
State or County License: 30950
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
-TON
LIEN
LAU/ INFORMAT�IONt%
t t , F r-----
SUiPPLEMENTAL'GO,NST�RIW
DESIGN ER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _
Name:
Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
Address: 1701 S. 37th St
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 Count 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
improvements to your property. A Notice of Commencement must be recorded and posted on the ' bsite
before the first inspection. If you Bend to obtain financing, consult with ender or an attorney b re
rnmmanring.Zork or recordine vbLcement. r Notice of Commen
gnature of Owner/ Less Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY01' S�. 1 Oc.\'z
COUNTY OF -k, LJc�e
The forgoing instrument was acknowledge before me
3q
The forgoing instrument was acknowledg?q before me
this y day of h 20 by
this day of5a 20 by
c�nr�s ad��SdV�)
Name of person making statement
Name of person making statement ,
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identific�t o�
Produced
Produced •'CC''
(Signature of Notary Public- State of Florida
(Signature of Notary ubl' -
ON Ig
�pRIEGNENS
Commission No. DEANM�p�yt,xCO022023
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Commissions , .�.a. ISSIONMOjf;OZ� a
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REVIEWS
FR
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17