HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/13/19
Permit Number:SPA —am-0-0-0
VANNED
BY q6c °6Fo
IiN St, LucieCmly.,,; pP�•� 1st
St �.�9 1010
Building Permit Application°PAd�
Planning and Development Services 0111) 'P17e
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 - - -
P-hone:(7-72) 462-1553 - Fax: (772) 462-1578 - - Commercial Residential x
PERMIT TYPE: LP Gas - Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 3431 S INDIAN RIVER DR
Property Tax ID #: 2426-421-0001-000-4
Site Plan Name: MOLLET/3431 S INDIAN RIVER DR
Project Name: MOLLET
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Install 600 gallons underground LP gas tank and install gas lines to generator and water heater.
CONSTRUCTION INFORMATION:
Lot No.4
Block No.
Additional work to be perford under this permit —check all that apply:
_Mechanical _Gas Tank ✓Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5106.15
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christine R. Mallet
Name: Gamaliel Portales
Address:3431 S Indian River Dr
Company: Ferrellgas
City: Fort Pierce State: _fL-
Zip Code: 34982 Fax:
Phone No.772-595-3914
Address: 3232 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-287-3456
Phone No 772-287-4330
E-Mail: crmollet@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail KimWilkins@fen-e#gp.com
State or County Licensed '�p ZQAqa
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:
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Not Applicable
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MORTGAGE
Name:
COMPANY:
_ NotApplicable
Name:
Address:
Address:
City:
ZIP; Phone
Stater
City:
State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER:. _
Not Applicable
BONDING COMPANY:
Applicable
Name:
Address:
Name-,
_Not
Address:
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_city: - -
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21p: Phone
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- - -- -•• IFF111,duun os nereoy maoe to ootam a permit to do the Work and Installation aslndicated.
I certify that no work or installation has'commenced prior to the issuance'of a permit.
!wu' ycca, w, Cny,Catncuuniwnicn may.apply.-'
In consideration of the granting of this requested permit, do hereby -agree that? 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 con -currency review: room additions,
accessory structures; swimming pools, fences, walis,'sigris; screen rooms and accessory uses to'anotFiernon-resfdentla4 use
STATE 'OF FLORIDq,,, STATE,OF FLORIDA
COUNTY OF�r r.) an n 'COUNTY OF. mA�rN
The forgoing instrum t wastacknowledged before me The forgoing instrument was acknowlIadge before me
this day of 26.K by th1 +3 day of AUGUf 20 6y
1trn21;�e1 Lnl�l S
Name.of.person making/statement, Name of person making statement
Personally Known y OR Produced Identification _ 'Personally Known x OR Produced dentificatlart
Type of Identification Type of Identification
Commission No,
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