HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO
MUST BE CC, ... 1ETED FOR APPLICATION TO BE ACCEPTEL'(
Date:yY�! q Permit Number.
SCANNED
� BY RC-CEIVED
St. Lucie County
Building Permit Application OCi 2 2 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. �ycie Counh,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fuel
Address:
Legal Description:
Property Tax ID #: — Lot No. U 4 q
Site Plan Name: Block No.
Project Name: -1 1 ll► JZ 4 J-2I Q/PC..i .
Setbacks Front_]�) Back:_ Right Side:VZ) Left Side:
YUin
(�►� .e�c-�
4S l�u fio �
`CO�ISTRIlCTION
INFORIIAATION
<,; f y`
Additional work to e e orme un ert ispermit—checka
apply:
DHVAC
GasTank Gas Piping
_Shutters
OWindows/Doors
Electric 0 Plumbing Sprinklers
11 Generator
0 Roof
Total Sq. Ft of Construction: l
Cost of Construction: $ �l
S Ft. of First Floor: _
UtilitiestSewer 0Septic
Building Height:
;01iUNER_j
-ESSEE' :` , ,_
CONTRACTOR A.
Name ii
Name: Larry Licastri
Address: !i Q� ' Qom\
Company: Amerigas
City:State:
Address: 3301 Oleander Ave
City: Fart Pierce State: FL
Zip Code: �r+ Fax:
Phone No.
Zip Code: 34982. Fax: 772-465-8448
Phone No.� WAS —LIPI
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail:r�, rtb ®Q11f✓IQric4Z.,r&n
from the Owner listed above)
State or County License: 0270 128579
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:_
Address:
City: State: _
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone-- —
MORTGAGE COMPANY: _ Not Applicable
-Address:--- -- _— —
City: State:
Zip: Phone:
BONDING COMPANY: _Not
Address:
r"
UW NhH/ LUN THAGTUR AFFIDV IT: 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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 concur-ency, review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARnrethe,
OWN failure to Record a Notice is Co men�ed a in posted
st paying hejtwice for
imis o ert . A Notice of Commencemrpt
us ded and osted on the'obsite
ber inspectio If you intend to obtain financins It with le er or an attorney before
coArrkbr r e-vnur Notice of Cnmmenca
Sio lure of Owe essee/Contractor as Agent for Owner
Sig ture of ntractor/License Holder
STATE O ORIDA
STATE F FLORIDA
COUNTY OF S�\�C1Q
COUNTYOF7\—LX
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this l� day of oC%�Rl- . 203n by
this vi( day o T . 2019 by
Name of son rhaking statement
Name of persoh making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
_
Type of Identification
Type of Identification
Produc
Produced
of Florida
� Sig lure of NotaryPubli Staie�efFFl �BPM
f ��rza22
(Signature of Notary Pu61ic-Sta o�f�idq(Ida �aGry Publk State or Fl
Shs
Commission No. l�1 eComRVsAngola M BonrGG to
Boore
o@om lssion No. i 190eo9
o, Expiate 02/27/2022
or
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
L qdo-oq e,�, p-1z' IU-0tco