HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE CC "-'`LETED FOR APPLICATION TO BE ACCEPIC'u -
Date: Permit Number:
MAR 2 8 2019
_ Building gpKq►pplicati n
Planning and Development Services BY sT. Lucie County, Permitting
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
Address: 3508 ANeenue- /J f7ar+ RUL2 F L 3494-4
Property Tax ID #: 7i40J - (oO / - 0406 - 0�0 - a Lot No.4 s16 I�
i
Site Plan Name: Block No. ZZ
Project Name:f,oie, Z�aS 57&s4em
Additional work to be performed under this permit- check all that apply:
_Mechanical
Electric
XGas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ Z3-+ 1, 53
XGas Piping
_ Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor: -
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNERjLESSEE tvyy :$ tf 1,trt`
GO1uTRA ,OR °{�,-;`�,`_,& "" },az?
Name 1j;t.4,21e. Leis
Name: LarryLicastri
Address: 36og Aywwe N
Company:AmeriGas
City: F+ P;U-a. State: FL
Zip Code: *4 Fax:
Phone No. -4-11-97) - S45$
Address:3301 Oleander Avenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-465-8448
Phohe N0772-633-0740
E-Mail: /r1iLt)g12.. Cole- Q n.o I. coffin
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailAmeriGas-7262@amerigas.com
State or County License02707128579
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.
St1PPLEME T E COATS , d �:iEN lA 41
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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:
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
W TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
i roveme our property. A Notice of Commencem m be recorded and posted on the jobsite
be the fir ins ction. If ou intend to obtain financin consuliI'th lemon er or an attorneybefore
co enci k o recording vour Notice of Commenc ent. l
_11lure of essee/Contractor as Agent for Owner
ure of C ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF CSV
COUNTY OF '5-4-. Ls�r .�
The forgoing instrument was acknowledged before me
The forgoing instrument wa acknowledged before me
this.')A_day of .20,E by
thisQ%dayof Cirw20La by
Lrc�.rr.. ls
��•.i LsCS.>d�i-r
-5-�c�•c�
Name of person making statement
Name of kerjoA making statement
Personally Known._ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Prod
tat
(Sign atu I FINPf@0'futiiic sale or Florida
(Signature of Notary Public- a o ri ry °!c;Cyeon-or.a
ela M Boc:\
,".'Angela M BO
My o�m'Iq�ssion G' 19060g
Commission No. \g Fs'69/27/2022
�+� My Commission Gv 190609
ommission N \ Oo„�v "p2I27!2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17