HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , I
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
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PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8937 FIRST TEE ROAD
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 24(OR 2974-1992)
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Property Tax ID#: 3334-500-0035-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
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REPLACEMENT OF 50 GALLON PROPANE HEATER
CONSTRUCTION INFORMATION.
itiona work to be performed under this permit—check a apply:ry
HVAC _Gas Tank ❑Gas Piping _Shutters Q Wi6dows/Doors
Electric ❑✓ Plumbing Sprinklers F]Generator F,] Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor
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Cost of Construction: $ 1,815.00 Utilities: _Sewer 0 Septic (; Building Height:
OUVNER/LESSEES"° „ \ ?`°CONTRACTOR: w ,
Name ROBERT&MARY HARPER Name: RICHARD BASSOFFi
Address:8937 FIRST TEE ROAD Company: ADMIRAL PLUMBING SERVICES, LLC
City: PORT ST LUCIE State:FL Address: 2895 JUPITER PARK DRIVE#700
Zip Code: 34986 Fax: City: JUPITER State:FL
Phone No. Zip Code: 33458 Fax:
E-Mail: Phone No. 561 746-1180 r;
Fill in fee simple Title Holder on next page(if different E-Mail: christine@theadmiralplumber.com
from the Owner listed above) State or County License: CFC 1426115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU'PPLEMENTAL.CONSTRUCTION LIEN'LAW INFORMATION::
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: 1
Address: Address:
City: State: City: State:
Zip: Phone: Zip: hone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name: ;I
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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, Ido 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 anpther 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 a'nd posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with fender or an attorney befor
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commen work or recording our Notice o mencement
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_Signature of Owner/Lessee/Agent Signatu Con ractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALMBEACH COUNTY OF PALM BEACH
The for oing instru gent s acknowledged-�efore me The forgs�ing instrupnt was ackno ledged before me
this day of 20 fey this 3 f day of ' 4�� 20 14- by
O'b"Aolw� P 0
(Name of person acknowledging) (Name of person acknowledging)
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nature of Notary Public-State of Florida) (2son
g ture of Notary,Public-State of Florida)
onally Known �/ OR Produced Identification Pally Known ✓ 0RoP i
Type of Identification Produced of Identification(Produced
Notary u
,,O r ;4 ° Susan Clark Costa � Susan Clark Costa
Commission No.l �i D37r�(I c e1N�iCommieslonGG032 ICO fission No. I� 03?.$�( d�I]vommisslonOG032841
exp Expires 11/1312020 M Expires 11/13/2020
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION „ SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ��: