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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE) INFOMUSTBE CO[I __7ED FOR APPLICATION TO BE ACCEPTED Date: 15.IN• / 9 • SCANNED Permit Nu .:_. BY St. Lucie County Building Permit Planning and Developmentservices Building. and Code Regulation. Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Fuel D �_R qe 2YV __ uE 4.Ttf� f2K I MAY 13 2019 Permitting [pep Tient St. Lucie Cc yFL esidential Legal Description: -r-16 V� d ukl p1h2 ,,, V " CQ \ � Ok k i A Property Tax ID #: `3 \ J, —_9_0 0 — 01 to 0X — D D O, � Lot No.�_ Site Plan Name: Block No. Project Name: Setbacks Front 1 Back: 10 Right Side: 1 0 Left Side: l QETAI[B DESCRIPTION OFWO�K 'Y ._.. _.. S�o 9 oLi vo P s, c,�( RYA' h oo -P =CONSTRIlCTIO�N INFORR'lI�TION; :' _ I rtiona wor to e e orme un ert ispermit—c ec all apply: 11HVACL.Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 0 Plumbing [:]Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ o� 1 b O . O S Ft. of First Floor: _ Utilities:Sewer Septic Building Height: ;Olil(NER�LESSEE ,A= Y .<' =" CONTRACTOR " '_' Name 1t l l W , 0A -VkcN l Name: Larry Licastri Address: S 3DLP �� 0� L0.J�-e Company: Amerigas City: VT e\2NlR Stater Zip Code: 07QA G1S_ \ Fax: Phone No. �� S i1 ' �o Address: 3301 Oleander Ave City: Fort Pierce State: FL Zip Code: 34982 Fax: 772465-8448 Phone No. 772-633-0740 E-Mail: 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: 02707128579 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name:__ 1 1 I� _ Name: Address: k I ITS Address: City: L/ State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 "WARNING OWNER: YOUR FAILURE TO RECORD A NOTIC MMENCEMENT MAY RESULT IN YOUR PAYING EMENT MUST BE RECORDED AND FOR PROYEMENTS TO YOUR PROPERTY. A TICEOOnNTE POS ON T JOB SITE BEFORE THE FIRST INSPEC IF YOTO OBTAIN FINANCING, CONSULT ITH R OR AN ATTORNEY BEFORE RECOR 1 YOUCOMMENCEMENT." Sig ature of Owner/ Lessee/Contractor as Agent for Owner Sig a o icense Holder STA LORIDA �ure STA F F RIDA COUNTY OF_ 5\— l�� \sZ COUNTY OF c—:4— r� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this to day of r!!" 20 CL by this to day of" 204 by � ( c- a" _ iris if � C� Name of person Making statement. Name of person m king statement. Personally Known _X__ OR Produced Identification Personally Known /\< OR Produced Identification Type of Identification Type of Identification Produced IcStateofFlorida AW Angela 14LBoore +� • CommiWon GG 190609 Produced �o u lio Sfate of Florida , my Coll Is _ re �'1Y Commis's�nGG 190809 @w Expires 02127/2022 R� wrJExpires 021272022 (Signature of Notary Public- State of lorida) (Signature o Public -State o Florida Commission NoC�—_-, q (Seal) Commission No.EL-o)qOC;C2 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.