HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFT MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' Q�
Date: '� ,�$ Permit Number:
SCANNED
BY
St. Lucie County RECEIVED
- --- --- -- Building Permit Application OCT 2 9 2019
Planning and Development Services
Building and Code Regulation Division sT. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 _ r
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:GAS .
PROPOSED IMPROVEMENT LOCATION:
Address: 2613 SE Brevard AVE
Property Tax ID #: 3414-501-6303-350-2
Site Plan Name: CONTE
Project Name: CONTE
DETAILED DESCRIPTION OF WORK:
EXTERIOR LP GAS TANK AND LINES AND INTERIOR LP GAS LINES
'CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
I Gas Tank
_ Plumbing
Total Sq. Ft of Construction:.
Cost of Construction: $ 6400
V- Gas Piping
_ Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor: _
Lot No.""'s'
Block No. 4
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGiancarlo Conte ,Heather M Conte
Name: Cheyenne Ellison
Address:2037 SE North Blackwell DR
Company: Elite Gas Contractors ' {
City: Port St Lucie State: _
Zip Code: 34952 Fax:(772)220-1829
Phone No.(772)220-9678
Address:2130 Poma Drive
City: Palm City State: FL
Zip Code: 34990 Fax: (772)220-1829
Phone No(772)220-9678
E-Mail:emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailemcintosh@elitegasco.com
State or County License 18361 a%66c)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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."
/.Bills. L�
//% 4��r
Sig a of wner/ Lessee/Contractor as Agent for Owner
Sig ure/Cactor/LHolder
STATE OF FLORID/
COUNTY
STATE OF FLORIDW,r�
OF Qhl7n
COUNTY OF /yl'trh ➢
The forgoing instru en w s acknowledged before me
The forgoing instrry[n�eyyt was acknowledged before me
4&
this day of 20� by
this day 0f UayibAw zoo by
Name of peaking statement.
Name ooi p� aking statement.
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod
Produc
Notary Public State of,Flonde
&N
�W Notary Public State of FloriOa
Desiree N McIntosh
My Desiree N McIntosh
Commission GG 283399
?
g My commission GG 283399
a p6` Expires 12/112022
(Sign
ISignat
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///1.9