HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE, _..'IPLETED FOR APPLICATION TO BE ACCEF1
Date: SCANNED Permit Number:
BY RECEIVED
St. Lucie County
Building Permit Application APR 2 5 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division /
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential
PERMIT APPLICATION FOR: Fuel
Address: 3 S S S 0
Legal Description:
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CI-F P?W c 0" D F N � 1 � L-� ok
Property Tax ID #: oSLAX ' 3 ( 1 D DD 1.0 — O D C) 1
Site Plan Name:
Project Name:
Setbacks Front ` D Back: 1 O Right Side: 10 LeftSide: I J
DETAILED DESC[tIPTIO�V'OF WOgK" ` `Y
5%0S-,
Lot No.
Block No.
v�-.t vc -t-
Vw2�
V I-) S -. t-
HVAC LffGas Tank (_]Gas Piping
Electric 0 Plumbing Sprinklers
Shutters Windows/Doors
Generator 0 Roof
Total Sq. Ft of Construction:: S Ft. of First Floor.
Cost of Construction: $ 1 L� Li
' Utilities. Sewer OSeptic Building Height:
,01fVNERJLESSEE4
CONTRACTOR
Name t-
Name: Larry Licastri
Address: S i
v
Company: Amerigas
City: 1FDY-7 fA4P Ar L.),
Zip Code: '7? L (!h Fax:
Phone No. 'n L — `,1 to �( `
State: -:F- k
'p)3 I Lf
Address: 3301 Oleander Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-465-8448
Phone No. 772-633 0740
E-Mail: OL1/� C 3S'� �(�IM ( (4 ST .1, - I
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Brian.Pead@amedgas.com
State or County License: 02707/28579
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: "
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:�tl
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:_ l�
Address: T°
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:�A�
Address:
Zip:
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
Fol
IMPROVEMENTS TO YOUR PROPERTY. A ���� IF OF COMMENCEMENT MUST BE RECORDED AND
POSTE N T JOB SITE BEFORE THE FIRST INSPECj10N. END TO OBTAIN FINANCING, CONSULT
ITH R LEN� R OR AN ATTORNEY BEFORE RECORDINNG YOUR NOTIOE OF COMMENCEMENT_"
as Agent for Owner
STATE OF FLORI A
COUNTY OF I�
Holder
STATE OF FLORIDA
COUNTY OF U:cC t.Q
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this,=—aa day of 20 tq by thisaS day of A�r�� . 201% by
Name of person making statement. Name of person Inaking statement.
Personally Known J� P I Personally Known I Gpde�p8/i�le{gq�i
Type of Identification ZZOZ/LZRo saw p Type of Identification yr Nota y Public S ate of Florida
Produced uoissww60Aw L Produced !° Angela M Baare
u1nac, V4 ela6tnJ y, g r—My"Cammission G6 19oso9
epuaid;o ele1S o!Iqnd Are40N ad' yip Fypites 02127/2022
(Signatare-oflQotary Public -State of Florida) (Signature of Notary Public -State of Florida )
Commission NoQ (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
COMP
Commission NoC-�f`—,t� (Seal)
PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW