HomeMy WebLinkAboutBUILDING PERMIT APPLICATION01/30/2019 10:39AM FAX V 2 0001/0004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q/
Date: 01/30/19 SCANNED Permit NFnJAN
BYSt.
Lucie CountyBuilding
Permit Applicati 3 0 2019
Planniny.ond Development Services
Building and code Regulodon Division ting Department
23DOWginiaAvenue,FortPierceA34982ie Count FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X :��1 County,
PERMIT APPLICATION FOR: plumbing NATURAL GAS LINE
Address: 86218 US HWY 1, PORT ST LUCIE, FL 34952 CROWNS PLAZA 8611 S US HWY 1 PSL FL 34952)
.Legal Description:ST LUCIE GARDENS 26 36 40 BLK 3 PART OF LOTS 12,13,14 AND 15
CROWNE PLAZA
.Property Tax ID #: 3414-601-1912-500-6 Lot No,
Site Plan Name: Block No.
Project Name: CORLEONE RISTORANTE NG LINE
Setbacks Front Back: Right Side: Left Side:
r-a
NEW 1" GALVANIZED NATURAL GAS LINE FROM EXISTING NATURAL GAS LINE IN THE CEILING,
DOWN THE WALL WITH GAS SHUT OFF VALVES FOR THE FRYER (119,000 BTUs), RANGE (370,000 BTUs)
AND GRILL (80.000 BTUs)
CORLEONE RISTORANTE IS 8621 US HWY 1 AND IS WITHIN THE CROWNE PLAZA
Aciallionaii work o be e orme un er is perms —check all. apply:
OHVAC 0 Gas Tank 2S Plping Shutters ❑ Windows/D'oors
as
�_(
®Electric Plumbing ❑Sprinklers (..,_(Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: 5' �. Ft.i of First Floor:
CostofConstruction:$ 1500.00 Utilities, LiSewer 0Septic Building Height:
Name:_ RONALDEMEE.
NameCROWNE ST LUCIE ASSOCIATES LP
Company: MEEKS PLUMBING INC
Address;1015 FINANCIAL CENTER
City;BIRMINGHAM state:AL
Address: 5555 US HWY 1, SUITE 1
City: VERO BEACH. State: FL
Zip Code: 35203 Fax:
Phone No.
Zip Code; 32957 Fax: 772569-7647
E-Mail:
Phone No, 772-569-2285
Fill In fee simple Title Holder on next page ('if different
E-Mail: INFOQMEEKSPLUMBING,COM
from the Owner listed above)
State or County License: CFCO245 5
If Value of construction Is $2800 or more, a RECORDED Notice of Commencement it required.
0.1/30/2019 10:39MI FAX
2 0002/0004
Name:
Name:
i City: state:
Zip; — Phone
Zip: _ Phone:
FEE SIMPLE TITLEHOLDER: _XNOtApplicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
Zip: Phone:
RACTOR 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 Counttyy 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 bylaws
rules, 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
co ncin work or recordingour Notice of Commence nt.
Rev.8/2/17
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Signature afOwner/ Lessee/ ontraRarasAgent for owner
Signature ofcontractor/ tenseHaldei
STATE OE FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY 'OF�InIAN RIVFR
The forgoing instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
this 30thdayof January .2019 by
this '�dayofJanuary .2019 by
RONALD E MEEiKS
RONALD E MEEKS
Name of er��� oppp making statement
Personally Known p OR Produced Identification
Name of rson making statement
Personally Known � DR Produced Identification
Type of ldentificatio
'type of ldentificati n
Produced
!q
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Produced
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