HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3A\ n. Permit Number: �Oo 3--
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Application MAR o 4 2019
ST. Lu61P County, Permitting
Commercial Residential X
PERMITTYPE: G :, SCANNED
PROPOSED:INIPROVEMEN L CA *N 5t LCICiP f`,nrinty
Address: btUb Hamtree I ran, I -on Fierce, hL 34yS2
Property Tax ID #: 3402-610-0369-000-0 Lot No.17
Site Plan Name: Block No. 83
Project Name: Corti Gas System
DETAILED DESCRIPTION OF WORK:
Bury a 500-Gallon Propane Tank and run the gas line to the Generator.
°CONSTRUCTION INFORMATION
Additional work to be performed under this permit— check all that apply:
_Mechanical ZC Gas Tank 7i Gas Piping _ Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2327.71
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:''' `
-
CONTRACTOR:
NameSherrie Corti .
Name: Larry Licastri
Address:6106 Raintree Trail
Company:AmeriGas
City: Fort Pierce State: 5:L
Zip Code: 34982 Fax:
Phone No.772-579-9225
Address:3301 Oleander Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-465-8448
Phone N0772-633-0740
E-Mail:Scorti@Comcast.Net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailAmeriGas-7262@amerigas.com
State or County License 02707/28579
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
`SUPPLEMENTALCONS¢.RUCTION LIEN LAW INFORMATION,
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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
WA • G T N Your failure to Record a Notice of Commencement may result in your paying twice for
imp vements to our pr erty. A Notice of Commencem nerded and posted on the jobsite
bef he first in ection. I you intend to obtain financin consultr or an attorney before
co m cin ecor ' g your Notice of Commence4.
Signatur of a Contractor as Agent for Owner
Si�n,ntractor/License Holder
STATE OFF DA
COUNTY OFsk
SORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this t dayof sS-z- . 20\A':-1 by
this L day . .20g by
rrof--�(�qs__-C�
Name of pe son making statement
Name of pers n making statement
Personally Known. OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification .
Type of Identification
Produce tk Nota Public Stateof Flodoa
ProducpcL 40"(4 Notary Public$tate of Flonda
+ Angeia M Boore s
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°gela M Boom
My Commission GG
• My Commission 190608
' or Expires 02/27/2022,M
190609
w Expires 02127/2022.
(Signature of Notary Public- State of Florida )
(Signature of Notary Public -State of Florida-)
Commission Nc� -iOE�CR (Seal)
(Seal)
Commission No (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17