HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5i22/17 SCANNED Permit Number:
BY RECEVE
St. Lurie Conntu
Building Permit Application JUN, 0 6 Y017
Planning and Development Services
Building and Code Regulation Division PERM! r ; jrt;,
2300Mirginia Avenue, Fort Pierce FL 34982 St: Lucie Cr: ;1±v
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential.
PERMIT APPLICATION FOR:. Gas piping
PROPOSED IMPROVEMENT LOCATION:
Address: 2929 N.W. 25TH STREET,'FORT PIERCE, FLORIDA 34984
Legal Description: AIRPORT INDUSTRIAL PARK -UNIT ONE-BLK 2 E 63.38 FT OF LOT 3, ALL LOT 4, LOTS 5 AND 6-LESS
25 ST R/W-ALL LOT7 AND E 63.38 FT OF LOT 8 (OR 245-205)
Property Tax ID,#: 1429-501-0018-000-7 Lot No.3
Site Plan Name: FLORIDA HIGHWAY PATROL OFFICE Block No. 2
Project Name: GENERATOR TRANSFERSWITCH AT FLORIDA HIGHWYA PATROL OFFICE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK:
CAP OFF GENERATOR GAS LINE`,,
CONSTRUCTION INFORMATION`:.
Additional work to be He ormea un
13HVAC Gas Tank
ert ispermi — cneCk
ZGasPiping_Shutters
all
apply:
. I
❑Windows%Doors.
] Electric 0 Plumbing
E]Sprinklers
Generator
DRoof Roo f.pitch
Total Sq: Ft of Construction:
S
Ft. of First Floor: . .
.Cost of Construction:$ 1,110.00
Utilities:Sewer�Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR
Name
Name: SUSAN STOKES
Address:
Company:, GENERAL PLUMBING
City: CL \c" wt'C Stater L '
Zip Code: Fax:
Phone No.
Address: 2001 7TH AVENUE.NORTH .: _
City: LAKE WORTHState: FL
Zip Code:-33461 . Fax: 561=582-3602 '
Phone Noe561-585-2591
E-Mail:_S`,a�! �.�� 5'��'� ✓�,O.�e✓
'Fill in fee simple Title Holden next page (if differ efit
from the Owner listed above)
E-Mail: AMY@GENERALPLUMBING.COM
State or County License: CFC 1426279
If value of construction is$2500 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: Stater
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
as
STATE OF FLORIDA
COUNTY OF L 6130
The forgoing instrument was acknowledged before me
this 20day of 20 JZby
(Name of person acknowledging)
S
Signature of Contractor/LicenseHolder
STATE OF FLORIDA
COUNTY OF PALM BE w
The forgoing instrument was acknowledged before me
this 22N0 day of "y 20 � by
SUSANSTOKES
(Name of person acknowledging )
(Signature of Notary Public- State of Florida) I (Signature of Notary.Public-State of Florida)
Personally Known OR P
Type of Identification Produced
Commission No. lF (e3.1
Revised 07/15/2014 -
PP sonally Known x
T e of Identification
P. TURNAGE
y
_ ;.: Commission # FF 007631
'• lies June 11, 2017 C19
emission No. FF
OR Produced Identification.
111998
REVIEWS
emission No. FF
OR Produced Identification.
111998
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS