HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -MAY 28, 2019 SCANNED Permit Number:_\q��)'E)-OC-As
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St. LUcie County RECEIVED
Building Permit Ap MAY 2 9 201
plicati Fn pe 9
Planning and Development Services sT Lur rmitting
gn
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Address: 716 CAMPBELL RD, FORT PIERCE, FIL 34945
Property Tax ID #: 2309-432-0002-020-1
Site Plan Name: ARNOLD
Project Name:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
INSTALL ABOVEGROUND 500 GAL LP TANK AND LINE TO GENERATOR
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
—Mechanical ?�-Gas`rank Gas Piping Shutters —Windows/Doors
— Electric — Plumbing — Sprinklers Generator — Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3886.35
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTOPHER B. ARNOLD
Name: GAMALIEL PORTALES
Address: 716 CAMPBELL RD
Company- FERRELLGAS
City: FORT PIERCE State: FL-
Zip Code: 3494F Fax:
Phone No. 772-201-7516
Address: 3232 SE DIXIE HWY
City: STUART State: FIL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-Mail: mowmanii@aol.com
Fill In fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail lQmWilkins@ferreligas.com
State or County License 30558
IF vdsue or construLuan is �ozbuu or more, a KFLORLIED Notice of Commencement is required.
If value of HVAC Is $7,500 or more, a RECORDiD Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNt-R—/—ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: 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 Home Owners
conflict with any applicable 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."
oi ��; P - PE
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Signatur—e-6rWnet7lftfee/Contractor as Agent for Owner
Signature of Contract&r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 28 day of may 20 by
this 28 day of MAY 20 by
GAMALIEL POR'TALES
GAMAUEL PORTALES
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Pro#ced
Produced
IWAIIIA
ure of Nota Public-
KIMBERI L WILKINS
(SignatuieofNota Public -St
KIMBERLEYEWILKIIIS
Commission No. COMM'SS10"IFFOIZ3105
IRES: November 28,
om ssion No. FF063105 ISSIONOFF06310!
71 FP
'4' m r28,2021
rol 6Mdod7tnNMwPub41a
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19—