HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
Ad APPLICA13LE INFO MUST Bh E;U'*MPCr iiiD FOR APPLICATION TO BE ACCEPTED
Date: 07/1012015
SCANNED Permit Number:
BY
-St. Lucie Countv EGEIV.-
Building Permit Applicati
Planning and Development Services JUL 10 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x BXA,-sidential
PERMIT APPLICATION FOR: Gas piping
PROPOSED IMPROVEMENT LOCATION:
Address: 7586 S. US Hwy. 1, Port St Lucie, FL 34952
Legal Description: Prima Vista Crossing Replat NO. 3 (PEI 43-2) Trac D2 (3.46 ACj(or 2611-1826; 3102-2968).
Property Tax I D #: 3422-858-0002-000-4
Lot No.
Site Plan Name: Block No.
Project Name: G6ndpa's Diner
Setbacks Front B�ck: Right.Side: _,�eft Side:
DET41LED DESCRIPTIONCIF WORK:'
Add Natural gw pipinq for tank-Im water heater & kitchen equipment.
M
N INFORMATION:
A,aa11:1ona[,'worK10DfjrTormec unaer tnis permit— cneCK an fn�jpppiy:,,,,
HVAC Gas Tank R]Gas Piping L_U'Shutters OWindows/Doors
Roof'
�Ele" 'ric El Plumbing []Spri6kiers EJGen6rator
Total:,54.;F of Construction: S, . Ft.
it
Cost of Construction: $ 2,359.86 Utilities. 5ewer Septic Building Height:
'�W. 1. .1
OWNER/LESSEE:
CONTRACTOR:
Njr��e Prima Vi9ta Crossing LLC
N a Mtfio'ny Lester
Address: 1541 Sunset Dr. Ste. # 300
C6�m—pan`y":Jroy Plumbing & Gas, Inc.
City: Coral Gables State:FL
Zip Code: 33143 Fax:
Phone No.
Address: 3410 SW Canoe Creek Ter.
City: Palm City State: FL
Zip Code: 34990 Fax: (772) 464-0094
Phone No. (772) 291-7790
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Ma , jl:'anthony@troypiumbinggas.com''
State or County License: CFC1 426623
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRILTnCIN, LIEN LAWINFORMATION:
DESI GNER/ENGI NEER:
Name:
Not Applicable
'MdRTGAGE COMPANY: Not -Applicable
Name:
Address: L
Address:
City: El tw State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TItL1FRdLDgk
Name:
�i
'NotApplicable
BONDING COMPANY: X NotApolicable
Name:
Address:
Address:
City: ------ -------
City:
-
Zip: Phone:
Zip: Phone:
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 hmby 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
— Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID�A
STATE OF FLORIDA4,�-
COUNTY OF COUNTYOF
The f ing instrurfileat was acknowledged before me The forgoing ins
this7clayof "46 20 aby this day of
(Name of pers6n acknowledging) 6 ' 11 1 (Name of person
�t= it
Personally Known OR 0odu d Ident' ca o Personally Known
Type of Identification
Type of Identification Produced
Commission No. (seaf) Commission No.
Revised 07/15/2014
was acknowledged before
20 Ly by
OR
(Seal)
A2
Eld
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS