HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I _O
Building Permit Application
Planning and Development Services SCANNED MAR 2 9 2019
Building and Code Regulation Division BY
1300 Virginia Avenue, Fort Pierce FL 34981 St. Lucie Qpunty ST. Lucie Coun , Pern
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE:GAS
x
0 '0Pt>SED�11+fPRO MENT,t OGATION
Address: 1518 NW SWEETBAY CIR
PropertyTaxlD #: 4426-803-0045-000-2
Site Plan Name: HARBOUR RIDGE -PLAT 8- SWEETBAY VILLAGE UNIT 22 (OR 4038-1961)
Project Name: COOK - SMOAK
new underground LP gas lines from existing tank
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank VGas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 8400
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
r.-...�M'' ..: [„ n'. .�
CiNtN/LES EE: p
wY 4£ SM d�;: .&1 f a '
,GONTRAG-TAR ,
NameStephen L SmoakGina R Smoak
Name:Cheyenne Ellison
Address:2740 SW Martin Downs BLVD # 421
Company: Elite Gas Contractors 1
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.(772)220-9678
Address:2130 Poma Drive
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No(772)220-9678
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail emcintosh@elitegasco.com
State or County License18361
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.
DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
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 1 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signat a of 0 er/ Lessee/Contractor as Agent for Owner
Signature o ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORID/
COUNTYOF /(/�GtYFil1
COUNTYOF %I/l/lv��vt
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisday of M(i1Yl� . 20f� by
this a3Hday of rq/ I aYClli . 201q by
CGeuev,he FBI/Snh
S/Leye�v,e E1//SGvt
Name person mak`ing/}tatement.
Name of son makiin/g/�tatement.
Personally Known V 0R Produced Identification
Personally Known `� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P b{feIS &;%
(Signature of Notary Public- tat or' , Public States Flodtla
OA • Notary Public State of Flodda
R Ds�'Ir�e,,e,�N, McIntosh
Commission No Desiretdd>♦Gclntosh
+� My Com U GG 2a3399
Commission No.GC o'i M 59ion GG 283399
Expires 12111 2022
a^ Ex Tres 1112022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/1/19