HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05 19 Permit Number:
SCANNED
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St. Lucie County
___ •__ __ _ _. _____ Building Permit Application MAY 3 0 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) 462-1578 Commercial Residential X
PERMIT TYPE: GAS
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Address: 7875 SADDLEBROOK DR
Property Tax ID #: 3321-502-0003-000-7 Lot No. 54
Site Plan Name: AHMED Block No.
Project Name: AHMED
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EXTERIOR LP GAS TANK AND LINES AND INTERIOR LP GAS LINES TO FUTURE GENERATOR, TWH , BBQ ,
RANGE AND FIREPLACE
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Additional work to be performed under this permit— check all that apply:
_Mechanical _XGasTank aGasPiping_Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8000 Utilities: —Sewer —Septic Building Height:
0 w NERLSSEE.
Name Raheel Ahmed
�,.
Name: Cheyenne Ellison
Address:7875 SADDLEBROOK DR
Company, Elite Gas Contractors wry P S ndcos
City: PORT SAINT LUCIE State: _
Address:2130 Poma Drive
City: Palm City State: FL
Zip Code: 34986 Fax:
Phone No.(772)220-9678
Zip Code: 34990 Fax:
E-Mail:emcintosh@elitegasco.com
Phone No(772)220-9678
Fill in fee simple Title Holder on next page ( if different
E-Mailemcintosh@elitegasco.com
State or County License 18631
from the Owner listed above)
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.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
F a4+.. {k.
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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 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."
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Signa of ner/ Lessee/Contractor as Agent for Owner
Si a Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA�/�
COUNTY OF /V/Q
COUNTY OF /�/Q✓7t71�t
The forgoing instrumen was acknowledged before me
this �dayof � a 2t� by
The for oing instrument w s acknowledged before me
thisodayof 67// .200 by
CGt.ee Pew¢✓ /JOGS
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Name of ppAon. makings atement.
Personally Known OR Produced Identification
Name of p r n making statement.
Personally Known _V/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Prq uced
777
(Signatur 74f
Notary Public state of Florida
CommissioDesiree N McIntostceal�pM commission to a339
Expires 12/1112022
(Signatur of o,y,Pub ihooSj�(d odda
��r.,Desiree N McIntosh
Commission My Commission GGf§�}y�C
pp zpses 1112022
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