HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/2117 Permit Number:
y - i J
. 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: 5113 E Echo Pines Cir
Legal Description: HOLIDAY PINES S/D-PHASE II -B- LOT 398 (MAP 13/13N)(OR 2335-250; 3316-478)
Property Tax ID #: 1312-801-0201-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replacement of 40 gallon electric water heater
Generator
F]Windows/Doors
nRoof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 954 UtilitiestSewer 0Septic Building Height:
OWNER/LESSEE:
Name Malvin C Schwafe
Address: 5113 E Echo Pines Cir
City: Ft Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772489-0660
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof pitch
(CONTRACTOR
Name: Randall Snyder
Company: Snyder Plumbing
Address: 1525 Old Dixie Hwy
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-569-3055
Phone No. 772-569-3373
E -Mail: rwilson@snyderplumbing.com
State or County License: CFC1425952
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
0
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ER/ENGIN15tR:
_ 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
commie ting work or record',ng your Notice of Comme°tcemenL_
i
a ure of OwnefjLesse tract as Arent for Owner Signature of Contractor%License er '
STATE OF FLORIDA
COUNTY OF ?, i r�I" r 'ler
The f ng instrumjnf nit was acknowledged before me
thi: day of i7a. C . 20 (-by
/Pni "1&1 'S:�/u { e�e�
(Name of person acknowle ging)
Sign u e of Notary Pu lit- 5 e of4�orida )
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
VIRGINIA M. BRIDGER
Notafrg,?,Alit - State of Florida
My Comm. Expires Jul 10, 2017
Commission # FF 026752
STATE OF FLORIDA
COUNTY OF l—n a "---A 12" I/ey—
The forgoing instrument was acknowledged before me
this--` day of / � vA-rGL _ 20 � by
(Name of person acknolledging )
(Slinatu Notary Public.—State of forida }
Personally Known y r u ed Identification
Type of Identification Pr ure((.......
VIRGINIA M. BRIDGER
Commission No. ii ° : x . Notarl - State of Florida
My Comm. Expires Jut 10, 2017
4„oF Ffo„ COmmlS9jpa # FF 079;91
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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