HomeMy WebLinkAboutBuilding Permit Application 08/17/2¢17 8:00AN FAX 7726217882 ALL CITY PLUMBING TWO [60001/0008
ALL APPLICABLE INFO MUST BE COMPLETIED FOR APPLICATION TO BE ACCEPTEr)
Date: 03-17-2017 Permit Number:.
Building Permit Application MAR I'? 4"011"
Planning and Development Services PER[AITTING
Building and Code Regulation Division St.Lucie County,FL
2300 Virginter Avenue,Fort Pierce FL 34982
Phone-(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, cli&arrow at the end of line
Address: 142 SE Soneto Court
Legal Description: River Park Unit 7 Slk 9 Lot 6
Property Tax ID#: 3419-550�0085-000-4 Lot No.Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Electric Water Heater
LC�O;NSTRUCTION INFORMATION:
Itional-worktobenertormed under this permit-check at at app y:
11HVAC 11 Gas Tank Das Piping Shutters Windows/Doors
1-1 Electric P11 Plumbing OSprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:S 600.00 Utilities:[]Sewer 0 Septic Building Height
OWNERAESSM CONTRACTOR:
Name Howard Gouz Name. JasDn Parish
Adclress12140 SW 100th Ave Company. All City Plumbing Two Inc
City. Miami State:FL Address: PQ Box 880641
Zip Code: 33176 Fax:- City: Port St Luole State;FL
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 different E-Mail: hoily@allcitypiumbingtwopsi.com
from the OWner listed above) State or County License: CFC1427492
If value of construction is$2500 or more,a RECOR13ED Notice of Commencement is required,
03!17!2017 9:01 AM FAX 7726217682
ALL CIT`! PLUMBING TWO IM0002/0003
SUPPLEMENTAL CONSTRUCTION LiEN LAIN INFORMATION:
DESIGNER/ENGINEER: x Nat Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name: �.
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
E
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Net Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i certify that no
YY work or installation has commenced prior to the issuance of a permit.
whichcfs in c nfiicmt with no
applicanble4HomeaOwners Associa on rules,bylaws or the
ovenants that mays estrictbor 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,watts,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 Comm cemwt.
Signatur erJLessee Contractor as Agent for owner Sig tore o ontractor/Ucense er
STATE OF FLORIDArt / STATE OF FLORID f
COUNTY OF U �! 11C � COUNTY OF ( , L u C t:!Z
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Libbey of AlAcAff 20 f Eby this t 103fr!ay of ,20 / by
JaeoA E ParlgR Jason e P2rish
(Name of person acknowledging) (Name of person acknowledging)
( natu e bTN5rakjK P ,blK-Stat orida) (signature of No P biic-Stat a arida)
Personally Known t�� 011 Produced identification Personally Known OA Produced identification
Type of identification Produced Type of Identification Produced
+�9" yR", SHELLY A.BARK
Commission No. � SHEu(6�SI�RRi:Tr Commission
r 510NeFFQ I) '
`MY COMMISSION A FF 494669 't -`
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Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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