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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION=- ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Z y r% SCANNED Permit Number: BY S St. Lucie County RECEIVED Building Permit Application FEB 16 2017 Planning and Development5ervices Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Fuel III Address: 2 9 ci ? c4%L: c % IZ7 ?tyeZ= 77,'e«- Legal Description: Property Tax ID #: Lot No. Site Plan Name: Block No. Project -Name: S71 C,6fceE Co .Q/Pnoct Setbacks Front Back: Right Side: Left Side: I' DETAILED DESCRIPTION;OF� RK < I S_e3 IN,SOsnf/o, �.ojx.e �w an Fe ueus CONSTRUCTIOI—IN INFOR,IVIATION '; ' <. .,.__ ttiona wor to a orme unclertnis permit-crieCK all apply: E1HVAC 1Qj Gas Tank n�as Piping Shutters ❑ Windows/Doors 11 Electric 0 Plumbing Sprinklers ElGenerator 0— Roof Total Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor: _ UtilitiestSewer OSeptic Building Height: OWNER/LESSEE: 'CONTRACTOR Name % �'z Name: Larry Licastri Address: '`L3©cn V i o, t n 'a Aue, Company: Amerigas City: ro f) ?.' Gse e Zip Code: 3 77— Fax: Phone No. Stater Address: 3301 Oleander Ave City: Fort Pierce State: FL Zip Code: 34982 Fax: 772465-8448 Phone No. 772-633-0740 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Brian.Pearl@amedgas.com State or County License: 02707/28579 If value of construction is $2500 or more, a RECORDED Notice of commencement 15 regwrea. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY. _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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 improvqments to your property. A_Notice of Commencement must be recorded and posted on the jobsite fore firstinsaection. If you intend to obtain finan�gsult lender or an attorney before man np r� r rpmrdina unur Notice of Commen nt /'�k Signatur of Agent/ Lessee a=ontractor/ucense Holder O RIDA STARIDA COUNTY OF Ludo COUNTY OF S�-. l..V.G P The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this �jday of F� b_ r 20� by this�dayof %- -�_ 201_1 by b e o_SM 1 Y rU L k'O&+Ti (Name of per�sonacknowledgin ) (Name of per acknowledging ll4�� dt (Signature of Notary Public- Stat of Florida) (Signature of Notary Public- State o Florida ) Personally Known x 01 den ovally Known x O Pr, I entl a-t-eaat Type of identification Produa dw ' AMB TyF e of Identification Produce = "'' . ? Ito s My COMMISSION • FF9 Commission No. F F (ORES February Ot. 14S a�te5 bratty s6o mission No. FF9 �ru rs� (�PalSaw/fa Nor, J9B 0'S7 rTurirtllotr avay.cam , anw.mm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED HeV. 712014