HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/15/17 Permit Number:
RECE11'rD FEB 1 '7 1017
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
PROPOSED IMPROVEMENT LOCATION:
Address: 319 SEAHORSE TER
Legal Description: TROPICAL ISLES
Property Tax ID#: 3410-508-0257-000-3 Lot No.J-01
Site Plan Name: FRED & PHYLLIS KOCHER Block No.
Project Name: FRED& PHYLLIS KOCHER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 30 Gallon Elect Water Heater
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank 0Gas Piping _Shutters Q Windows/Doors
11 Electric ✓Z Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ $882.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FRED&PHYLLIS KOCHER Name: Allen Steinman
Address:319 SEAHORSE TER#J-01 Company: Service America
City. FORT PIERCE State:_ Address: 2755 NW 63rd Ct
Zip Code: 34982 Fax: City: Fort Lauderdale State:FL
Phone No.772-595-9149 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill imfee simple Title Holder on next page(if different E-Mail: epermitsgroup@serviceamerica.com
from the Owner listed above) State or County License: CFC057026
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
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
commencing work or recording our Notice of Commencement.
s
-Signatur Owner/Lessee/Contractor as Agent for OwnerSlgnlatur of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Broward COUNTY OF B-ward
The for oing InstLuMent was acknowledged before me The forgoing instrument was acknowledged before me
this I`�n day of 1-Cd2YugrL 20 1^7 by this IS" day of 20 0 by
Allen Steinma Allen Stelnman
(N e f p n acknowledging) (Nam of p r on ack o ging)
(
�ignaturfPublic-State of Florida) (Si nature Nota Public-State of Florida)
Personally Known (1R Prnrl + �a� _ Personally
Type of Identificati n eneka Hardy Type of Identificatio P d' e
s , <�� NotaryPublic-StateofFlorida r° ® Ncfar YuhrC:ic-SI,tate of Florida
Commission No. Commi�&eaI#GG33870 Commission No. CO3n1i951�'RPGG33870
Expires 9/27/2020 9rF r:`; Er•p,res 9/27/2020
OpFI,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS