HomeMy WebLinkAboutBuilding Permit Application MAR-7-2017 01:59 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.1/3
ALL APPLICABLE:INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n /
Bate; sf-YZ1'7 Permit Number: / U
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RECEIVED
Building Permit Application
Planning and Development Services MAR 6 2017
Building and Code Regulation division
2300 Virginia Avenue,Fan Pierce FL 34.982
Phone:(772)462-3.553 Fax: (772)462-1578 Commercial � Residential X
PERMIT APPLICATION FOR: Plumbing
. PROPOSED IMMOVEiV W LOCATION.
Address: 5051 N A-1-A 7-2 Fort Piece, FI 34949
Legal Description: Seaward At Atlantic View Unit 7-2(Or 3968-2864)
Property Tax ID#: 1414.612.0030.000-2 Lot No._
Site Plan Name: Block No.
Project Name: Susan Morris
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRIPTION OF WORK:
Electric 50 gallon tank type hot water heater change out.
CONSTRUCTION INIORMATION:
-Aciditionalworktoopnertormecl uncler his perms cl,Ck III appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
0 E=lectric Plumbing OSprinklers Generator Q Roof Roof pitch
Total Sq. Ft of Construction: $ Ft.of First Floor:
Cost of Construction:$ 1,115.00 Utilities:0Sewer 1J Septic Building Height:
OWNER%LESSEE. CONTRACTOR:
Name Susan Morris Name; Daniel Washburn
Address:510 Feather Palm Drive Company. Ace Plumbing, Inc.
City: Vero Beach State: FI Address: 666 4th Place
Zip Code: 32963-4309 Fax: City. Vero Beach State:Fi
Phone No.772-971-5371 Zip Code: 32962 Fax: 772-567.8494
E-Mail:morris.susan@gmall.com Phone No. 772-552-3780
Fill in fee simple Title Halder on next page(if different E-Mail: ace.plumbing@comcast.net
from the Owner listed. above) State or County License: 20940
If value of constructlon Is$2500 or more,a RECORDED Notice of Commencement Is required.
MAR-7-2017 01:59 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.2/3
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,bylawsr 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]obsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordina your Notice of Commencement.
,;'I'dazz ^^ -�—. s
Sig ature 6f Owner/Lussee/Contractor as Agent for owner Sig ature o Contractor/License Holder
STATE OF FL�RMA �, STATE OF FLCkRID41 n
COUNTY OF ��t� rl j COUNTY OF,1��IYY1,,, 1 M
Th broing instrument wds acknowledged before me The forgoing instrument was acknowledged before me
this day of , aC Y' 20 Eby this day of ,r ,,,,,�,20 _by
(Name of person acknowledging) (Name of person acknowledging)
C� CI&A a, � 4 ---
(Signa re of Notary Public-State of Florida) {Sig ature of Notary Pu Ile-State of Kforida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification produced _ __ _ Type of Identificatio4—roduCed J
1NIY/i9
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Commission No•T �Q_ �t^R P Commission No,APRIL CA
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1g.3 tU110 F a FF 036846
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR P VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS