HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMM "D FOR APPLICATION TO BE ACCEPTED
Date: 03/05/2019
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SCANNED Permit Number: Owl
BY
St. Lucie Couniv
Building Permit Application RECEIVED
Planning and Development Services JUN 0 5 20lq
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X St, Lucie county
I PERMIT APPLICATION FOR: Gas tank III
Address: 13013 NW HARBOUR RIDGE BLVD
Legal Description: HAR13OUR RIDGE -PLAT 16- FIGTREE VILLAGE UNIT 21 (OR 3775-1404)
Property Tax ID #: 4426-830-0023-000-6
Site Plan Name:
Project Name: MYERS
Setbacks
Back: "5 Ll ' Right Side: / X r Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: IIII
Install SW gallon LP tank, UG gas Lines, Interior gas lines and final connections to THWH & stub for
future Generator.
I CONSTRUCTION INFORMATION: III
1JHVAC 0 Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4570.00
Sas Piping S*h'ut'ters Windows/Doors
Sprinklers E� Generator Roof = Roof pitch
Sq. Ft. of First Floor:
Utilities: 0Sewer 0 Septic
Building Height:
QWNER/LESSEE:
CONTRACTOR:
Name Malcolm R Myers
Name: Paul Draghi
Address: PO Box 460
Company: Paulie Propane & Natural Gas Systems, Inc.
City: Painesville State: CH
Zip Code: 44077 Fax:
Phone No.
Address: 4100 SE Salemo Road
City: Stuart State: FL
Zip Code: 34994 Fax:
Phone No. 772/220-2616
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: pauliepropane@gmaii.com
State or County License: 24441
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI'ClNiIEN LAW INFORMATION:
DESIGN ER/ENGINEER: Not Applicable
Name:Malmim R Myem
MORTGAGE COMPANY: Not Applicable
Name:Paul Dmghi
Address: 13013 NW HAMOUR RJDGE BLVD
Address: PoBw4w
City: Painemlie State:
Z11 P: Phone
City: Stuart State:
Zip: Phone:
-FEESIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: —Not Applicable
Naiffie:—
Address: 4100 SE Sal� RMd
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 concurrencV review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO
,JDMANER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvernepts to yo4r property. A Notice of Commencement must corded and posted on the jobsite
beforethe rst inspeoicin. If yolm, intend to obtain financing, cons wit ender o attorney before
commencinL- work oV recordingfvbur Noticeof Commencement. 7
Signature ofqxMr/ Lessee/ControNr a�*ent for Owner
Signaturr Contract6-rfLic9WHoI&/
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF mwfn
COUNTYOF�
T f . . st
he ingin rymentwas acknowledged before me
this rdayof N.Z 20__Bby
The f . .
ing instryment was acknowledged before me
this Irdayof. 20& by
V
Paul Dmghj
2
N me of person r;iaking stAement
Name of person making statement
Personally Known x OR Produced Identification.
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
L2�4�\
(Signature of Notary Public- Stafe of Florida I
ry PublicL!State of Florida )J
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Commission No. M�LASOJ�A M
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Commission No. . ........ . HARNAIN MING
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DATE
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Rev. 8/2/17