HomeMy WebLinkAboutBuilding Permit Application 02/28/2017 11 :27kN FAX 7728217882 . ALL CITY PLUMBING TWO . [M4002/0008
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date, Permit Number,FEB 2 3 2017 Building Permit Application Planning and Develp�ment Services Building and Code Regulation Division 2300 ifirginia Avenue,Fort Pierce FL 34982 Phone:(772)452-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 183 NE Caprona Ave Legal Description: RIVER PARK UNIT 4 BLK 40 LOT 6 Property Tax fD#-. 3419-530-0228-000-7 Lot No.'Site Plan Name: Block No.Project Name:Setbacks Front Back:—R�ight Side: Left Side,Replace 40 Gal Electric Water Heater in garage C*ON'STRUCTION,INFORMATION....Additional work to IJ�Lorformed und is permit—checR all max apply:HVAC LJ Gas Tank FIGas Piping FIShutters, Windows/Doors Electric Q Plumbing FISprinkiers 0 Generator Roof Roof pitch Total Sq. Ft of Construction- S11. Ft.of First Floor:Cost of Construction.$ Ut ilities:0 Sewer 1:1 Septic Building Height.WN WLESSEL; CONTRACTOR:Name Robert Dols Name- Jason Parlsh Address:183 NE Caprona Ave Company: All City Plumbing Two, Inc.City. Port St Lucie State:.FL Address: PO Box 880041 Zip Code: 34983 Fax: Ci' t. Port St Lucie State;FIL Phone No 772-631-3038 Zip Code: 34988 Fax. 772-621-7882 E-Mail: Phone No. 772-631-3038 Fill in fee simple Title Holder on next page If diftrent E-Mail.from the owner fisted above) State or County License: CFC1427492 if value of construction is$2500 or more,a RECORDED N,otice of=mencement i's required.
02/23/2017 11.278N FAX 7728217882 ALL CITy ,PLUWBING TWO
SUPPLEMENTAL CONSTRUCTION LIEN W INFORMATION:
DESIGNER/tNGINEER'. Not ApplicZlii MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State;_ City: State,
Zip: Phone: Zip; Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY; x 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 Count makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
which Is in conract with any applicable Home Owners Posoclation rules,bylaws or and covenants-that may restrict or prohibit such
structure,Please consult with your Home Owners Assopiption and rev'iew 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 Cotirrimencement.must be recorded and posted on the jobsite
before the first Inspection. If you intend to obi lain financing,consult with lender or an attorney before
commencing work or recordInR Your Notice of Commencement,
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF— )T
Thef I Inst The forgoing instrument was acknowledged before me
�grgo�1 g rulne s acknowledgeobefore me'
day of
this ay this 22nd 20 _by
Jacon E.Parish
Jason E,PeAsh
(Name of person acknowledging) (Name of person acknowledging)
Personally Known��OR Produced Identification, Personally Known_OR Produced Identification
Type of Ide iffcation'Produced
Type of Identificatio Produced
SHELLY A.BARRErr, sHaLy
BRAES:Apdl 23,2018 PIRES:Alpfil 23,2018
NG
almod
Re'vised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE