HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing El
PROPOSED IMPROVEMENT LOCATIOW
Address: 198 Mediterranean Blvd, North, Port St. Lucie, FL 34952
Legal Description:
Property Tax ID #: 3414-501-1701-000-9 Lot No.
Site Plan Name: ST LUCIE GARDENS Block No.
Project Name: MARSHALL REMODEL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
Master Bath: shower valve, pan
Guest Bath: tub valve, tub & replace 2 sink valves
Kitchen: replace valves
CONSTRUCTION INFORMATION:
-A-dFi onal work to be performed under
11HVAC Gas Tank
11 Electric L 1 Plumbing
hff-permt - cF6ck all apply:
E]Gas Piping Shutters Windows/Doors
Sprinklers Generator I=I Roof Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Utilities;
Sq. Ft. of First Floor:
Sewer 0 Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
NameWayne Marshall
Name: David Husnander, Jr,
Address: 198 Mediterranean Blvd North
Company: Dave's Plumbing, Inc.
Cit,,- Port St. Lucie
State:FL
Address: 499 SE Seville Street
City: Stuart State:FL
Zip Code: 34952 Fax:
Phone No.
Zip Code: 34994 Fax: 772-288-7127
E -Mail:
Phone No. 772-287-8128
Fill in fee simple Title Holder on next page if different
E -Mail: davesplumbing499@hotmail.com
State or County License: CFC051625
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
�
DESIGNER/ENGINEER: — Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: _ Phone:
City: State:
Zip: Phone:
PEE SIMPLE TITLE HOLDER:'-- � Not Applicable
Name:
BONDING COMPANY: Not Applicable
Narne:---
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 thepermit 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: roam 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
improve our A Notice of Commencement must be recorded and posted on the jobsite
be r e first in p is f u intend to obtain financing, cans `rte der a , orney before
co mencin� v�ro or r r ' nR your Notice of Commenceme�--------
ntractor as Agent for Owner ! Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF -
The fQ; rng inst t was acknowledge efore me
this "Kay of _r a' a $ ` , 20 _by
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(Name of person acknowledging :r
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(Signature of Notary Public- State T arida )
Personally Known OR Prods Ides�t rLan9f0rd
Type of Identification Produced �� TRY PUBLIC
-+STATE OF FLORIDA
Commission No. d GG043591'
s'H E a $ Expires 12/8/2020
Revised 07/1-5/2014
The for rng instre �t was acknowledged before me
this Kay of -t 20 by
_ IJiCIA-
(Name of person acknowledging }
iUu� tan _
(Signature of Notary Public- State
Personally KnolnnOR Prod derv;tiifQia€�r1 Langford
Type of Identification Produced ¢ NOTARY PUBLIC
—STATE OF FLORIDA
Commission No. }nm# GG043591
• INCE 1g Expires 12/8/2020
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REVIEWWS
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SUPERVISOR
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' PLANS
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I VEGETATION
REVIEW
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SEA TURTLE
REVIEW
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f MANGROVE
REVIEW
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INITIALS