HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 c� y
Date: y 1T1 \� SCANNE19ermit Number: V \� I -d0
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
BY
St, Lucie County RECEIVED
Building Permit Application APR 0 12019
ST. Lucie 6euntyt P(efiniLTing
Commercial Residential Yes
PERMITTYPE:GaS
'PROPOSED IMPROCVEMENT EOCA"f70(V.*t " *'
Address: 2814 Essex or Ft. Pierce
Property Tax ID #: 1432-806-0045-000-1
Site Plan Name: Sheraton Plaza
Project Name: Gas Line Installtion
Install approx 26ft off' polyethylene flex gas line from meter to generator
Lot No.177
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank Y/GasPiping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,300.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
.,..:.• , �' �.. tr
CONTRACTQRy .>
NameAlice Johnson
Name:James Marsala
Address:2814 Essex Dr
Company: Peerless Plumbing & Drain
_
City: Ft Pierce State: _
Zip Code: 34946 Fax:
Phone No.
Address:651 NW Enterprise Or Unit 106
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
i Phone No772-223-1356
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I E-Mall james@peerlessplumbing.nel
State or County License CFC 1428692 LI 39483
I
U Vd!Ue UI COn5LUUClwfl 6 y42uu or more, a nCwnuCu rvouce or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN,LAW INFORMATION ,
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORT AGEE6 M PANY:
Name: „ Peffttlttlflf
Not Applicable
Address:
Addres ---
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not
Name:
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
"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."
Signature
as Agent for Owner
Holder
STATE OF FLORIDA STATE OF FLO�1pp
COUNTY OF 5� wG/L COUNTY OF L)c,-z
The forgoing instrument w\as acknowledge*before me The forgoing instrument was acknowledged before me
thisA'� day of ClT_F , 20_YY11 by thisC�)Lday of��^,�-1,. . 20JS by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Wb -�
:s:°¢,0 NNAMARIE GIVENS
M COMrdISSION#GG 022023
Commission No. e;`
- :December 16, 2020
I Bonded Thru Notary Pubic Underxrh
REVIEWS I COUO TER I REVI W I S REVIEWOR
lit#aWch
Personally Known OR Produced Identification
Type of Identification
DEBBIE TAVLIN
Notary Public- State of Florida
}(Signature of Notary Pu t= # Mpthv) Expires Apr 212022
B16d1;h.4h Naiora Nolry Assn.
Commission No. — 22 154'aTT
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW