HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LI
Date:.22.1q �rAnln1� Permit Number:
SCANNED RECEIVE®
�t. Lucie�oufl4gf
Building Permit Applic tion JUL 26 2019
Planning and Development Services Permitting Departmer
Building. and_Code. Regulation Division
2300Virginia Avenue, Fort Pierce FL34982 St. -Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMITTYPE:GAS
Address: 12811 NW Cinnamon WAY
Property Tax ID #: 4425-602-0017-000-7
Site Plan Name: SOLORANZO
Project Name: SOLORANZO
EXTERIOR LP TANK AND LINES TO GENERATOR
Additional work to be performed under this permit -check all that apply:
_Mechanical XGas Tank 1AGasPiping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:.
Cost of Construction: $ 2300
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
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Name Cesar A Solorzano
Name: Cheyenne Ellison
Address:12811 NW Cinnamon WAY
Company- Elite Gas Contractors
City: Palm City
Zip Code: 34990 Fax. 'Ia
Phone No. (772)220-9678
State:Ft-
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Address:2130 Poma Drive
City: Palm City
Zip Code: 34990 Fax:
Phone No(772)220-9678
State: FL
(772)220-1829
E-Mail:emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail emcintosh@elitegasco.com
State or County License18361
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:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
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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Signatu of Owner/ Lessee/ ontractor 9s eRtTar-Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORI
COUNTY OF nx� �
COUNTY OF v -F-i
n
The forgoing instrument was acknowledged before me
this _2a day of It Ay 2019 by
The forgoing instrum nt was acknowledged before me
this agday of k 111 20 IOl by
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Name of per on making statement.
Name of per on making/statement.
st
Personally Known Y OR Produced Identification
Personally Known " OR
Produced Identification
Type of Identification
Type of Identification
Produced
LJJ'LJ=
Produced
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(Sign Pure of Notary Public- State of lorida
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Commission No. - coHi ION GG248053
commission No.
'�` � ON # GG24800
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DATE
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DATE
COMPLETED
Rev. 2///19