HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST bE IrOMPLETED FOR APPLICATION TO BE ACCEPTED II [� /� 7�
Date:10/21/2019 Permit NumberA ILO'O ILA-+
SCANNED SCANNED
BY
BY St. Lucie Cf;
• +
St. Lucie
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: GAS TANK AND LINES
PROPOSED IMPROVEMENT LOCATION:
Address: 7 RIO VERDE WAY
Property Tax ID #: 3426-500-1251-000-3 Lot No. —_
Site Plan Name: • Lu6 , Go o> J5 Block No. (d a+
Project Name: SCHACHEL
DETAILED DESCRIPTION OF WORK:
Install a 120 gallon LP tank above ground with gas lines to range
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical X Gas Tank 9 Gas Piping _ Shutters —Windows/Doors
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2450.00
_Generator _Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN SCHACHEL, JOHN
Name: PAUL DRAGHI
Address:? RIO VERDE,WAY
Company: PAULIE PROPANE & NATURAL GAS SYSTEMS
Address:4100 SE SALERNO ROAD
City: PT. ST. LUCIE State: _
Zip Code: Fax:
Phone No.
City: STUART State: FL
Zip Code: 34997 Fax:
Phone No 7721220-2616
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail pauliepropane@gmail.com
State or County License 24441
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRION 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 TITLEHOLDER: _ 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 44 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YQ61t NOTIC OF COMMENCEMENT.'
(I{I
Signature of Owner/ Les ee/Contr or as A ent for Owner
Signatur of Contracter/LicVnse Holder
STATE OF FLORIDA � �� i I)
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STATE OF FLORIDA
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The f r ing instru en �{as acknowledged before me
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The for ing instrument was acknowledged before me
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this day of � lJ 26J5 by
this dayvt OCiv6t/ 26A by
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Name of person making st emen .
Name of persoA making tatem t.
Personally Known , OR Prod ed Identification
Personally Known R Pro u d dentification
Type of Identification
Type of Identification
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Produced
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