HomeMy WebLinkAboutSUBMITTED PAPERS-All APPLICABLE INFO MUST BE COMII FOR APPLiCATION TO BE
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SCANNED
BY
Building Permit Application
Planning and Development
Building and Codeon Division
.•Virginia Avenue, Fort
Phone:462-1578 Commercial
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Address:r
Legal Description:
• „- • ICI G Lot No.
Site Plan Name: A t
Project
Setbacks
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Electric Plumbing ••
—Sprinklers.
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer Septic Building
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Name MO`.P•
Code:Zip
. ..-
Phone No
Fill in fee simple Title Holderon nextpage (if different
E . -Mail: 6MO /01P
i
or Countyi
from the •
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: Applicable
_
Name:
_Not
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 Countv.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
commencin work orrecordin our Notice of Commencement.
0"I'L
Signature of Owner/ gent%Lessee
ure of Contrdor'10cens-elToblaer
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA , .$
COUNTY OFGW
The fpp� p�ing instr m t was acknowledged before me
thi�s/Ifaday of 20L�by
The f ping instru ent was acknowledged before me
this�ay oft p/'� 20L5 by
1. "t rwf Lk 1 Sari
-an Vill
(Name of person acknowleedd Ling)
(Name of persorl acknowledging)
( ig ture of Notary Public- State of Florida)
ture of Not ry ublic- ate of Florida )
sonally Known_ OR Produced Identification
t/rsonally Known OR Produced Iden ' ion
Type of Identification Produced
Type of Identification rode c
g 0i
Commission JPNE�oflN���:�®ie
=e �a..vf�idllplauOp Wp 951 @Wo1q
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REVIEWS "' ZONING SUPERVISOR
JANE L• E667347p 61,
Commissio rla>""°f%"•, commisslnEPEcT3�ArTv
_e'; •�MY Cam07mou0h Vlaate m
BOnCe S..J, 81TB0
seer ortPOnY'
PLANS
GETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
04/12/2016 15:37 FAI 7722871119 COMO OIL COMPANY
e.
191 001
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
BUILDING AND CODE REGULATIONS DIVISION
COUNTY
Z300 VIRGINL4, AVE
FORT PIERCE, FL 3498Z
(772) 46 -190 Fax (172) 4Q-1578 R E C E W E D
PERMIT RENEwAL REQUEST APR 12 20%
PERDAITTING
St. Lucie County, FL
PERMIT NUMBF,Rc1508-031H1 ADDRESS: 5224 S OCEAN DR
� �..,:� ,...
I DANNY CULBERSON (MARTIN CO PROPANE) am requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be fmaled. Further, I
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period during the renewal period.
Justification PERMIT EXPIRED. MOVING ON W/ PROJECT FOR INSPECTIONS
APRIL 12, 2016
OWNER/gi CONI7CACTOR SIGNn"1 UJcF DATE
DANNY CULBERSON
Print Name
STATE OF FLORIDA
COUNTY OF !"
ACKNOWLEDOEDBEFOREMET12TH OF APRIL J2016
Hf5
BY DANNY CULSERSON WHO IS PERSONALLY KNOWN TO NE,XXX —OR
HAS PROVIDED
ST OF FLORID Co s„ f MARTIN L. :MY Bonded eilOn
�( jo of L. B C"Mi llon
"+ywwll,, company.
J l
TIJRE OF NOTARY SEA
FOR OFFICE USE ONLY:
Number of Open Inspections: ,^
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
Example: [15 divided by 23=.65(9A)] $175(permit fee) x .65=$113.75 (renewal fee)
RrA"d 7121014
04/13/2016 07:52 FAX 7722871119 COMO OIL COMPANY
Ia 662
i
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
PERMIT NtWBER: 1508-0311
BUILDING AND CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34M
(772) 462.1553 Fax CM) 462-1578
PERMT RENEWAL REQUEST
ADDRESS: 8224 S OCEAN DR
L DANNY CULBERSON (MARTIN CO PROPANE) and requesting that the above permit be renewed. I
understand that I must schedule and pass all required inspections for the permit to be finaled. Further, I
understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a
passing inspection during any six month period 'during the renewal period.
Justification PERMIT EXPIRED. MOVING ON W/ PROJECT FOR INSPECTIONS
APRIL 12, 2016
OWNERBI8M PA CONTRACTOR SIGNATURE DATE
DANNY CULBERSON
Print Name
STATE OF FLORIDA
COUNTY OF �
ACKNOWLEDGED BEFORE METHIS 12TH DAYOF APRIL 2016
By DANNY CULBERSON
HAS PROVIDED
OF
FOR OFFICE USE ONLY:
MARTIN
WHO IS PERSONALLY KNOWN TO ME XXX OR
Number of Open Inspections:
Total Inspections:
(Divide open by total to get % of open inspections)
Percentage:
Original permit fee: x % open = $ Renewal fee
Example: [15 divided by 29=.65(e/u)] $175(petmit fee) x .65=$113.75 (renewal fee)
Revised 7RIR014
COmml6sloe
BOARD OF
COUNTY
,COMMISSIONERS
COUNTY
1.. -ofaieii�: I- [La] [Esj [{�] .. [La] I [L9] [L111
SIZE _ ......
ST.. LUCIE COUNTY
[A1] . [A3] [�5] BUILDING DIVISION
REVIEWS
FOR CO1ME
REVIEWED BY
DATE 1)
. TANK SIZE: —r�� V GALS. PLANS' AND. PERMIT
MUST BE KEPT ON JOB OR
NO INSF!:r, WILL BE MADE
APPLICANCE — TYPEISIZE
Al RP ac fin, 00 BTU
BTU
A3 klvtvl,.C4 3D,006 BTU
A BTU
A5 BTU
A6 . BTU
PIPING LENGTH & SIZE `� (PIPE SIZE WAS TAKEN FROM
L1 D" FT. 31T INCH DIA. THE2010FBCFUEL GAS CODE-
L2 70 FT. INCH DIA. TABLE4o2( ))
L3 0 FT. INCH DIA.
L4 FT. INCH DIA. FILE
®�
.L5 FT. INCH DIA.
L6 FT. INCH DIA.
L7 FT. INCH-DIA.
18 FT. INCH DIA.
L8 FT. INCH DIA.
L16 FT. INCH DIA.
L11 FT. INCH DIA.
L12 FT. INCH DIA.
CHRIS DZADOVSKY, District No.1 . ITOD MOWERY, District No. 2 - PAULA A LEWIS, District No. 3 - FRANNIE HUTCHINSON. District No. 4 - KIM JOHNSON, District No. 5
County Administrator —Faye W. Outlaw, MPA, ICMA-CM Website: www.stlucieco.00v
2300 Virginia Avenue - Fort Pierce, FL 34982-5652
Phone (772) 462-2822 FAX (772) 462-1581 .
ro
VA
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57.22
R%CtEETE
\YC 0 ER
LOWER
LEVEL
&50'NGVD
7.01'NAVD
L & ATE
EJPMENT A5
A
L V
00, LEVATPN
f.
ABOVE FLOOD ELEVATION
931-0'y
OVERALL BUILDING LENGTH
126.761
8 1TT, E 3 r3. 6
124.181
19.00'NGVD
17.51'NAVO
CD
N 1811910 5 318.19f
7T.
G'�- TERLY LIMITS 'Q��
f D UNE GRi��- S