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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONA, L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 XXXx PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 606 Ulrich Legal Description: ULRICH-S SID BLK B LOTS 32, 33 AND 34 (0.51 AC) (OR 3819-371) Property Tax ID #. 3410-603-0047.000-0 Lot No. Site Plan Name: Black No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Connect water service from FPUA water meter to house. [CONSTRUCTION INFORMATION: Additional work to be nerformed under tis permit—c ec all appy: HVAC Gas Tank E]Gas Piping 1.[ _ Shutters Q Windows/Doors Electric Plumbing Sprinklers L2 Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 1020.00 Utilities: LSewer ❑Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name 3433 S 7th St LLC Name. Reed Sudderth Address: 359 Franktown Rd B Company: CRS Plumbing City: Carleton lace State: ON Zip Cocke: K7C 2N4 Fax: Phone No. 772-203-6944 Address: P.O. Box 12755 City. Fort Pierce State: FL Zip Code. 34979 Fax: 772-460-7774 Phone No. 772-466-7763 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: crsplumbing@bellsouth,net State or County License: CFC1426853 it name or consirucrion is :�«uu or more, a KLLUKDLD Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN' INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: 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 commencing work or recording your Notice of Commencement. _ Sig a ure of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 2$ day of. MA -9- . 20 17 by Edward D. ,tendon (Name of person acknowledging) ( ignature of NotaryPubli ate of Florida } Personally Known V - Type of Identification Commission No. 398-0153 Revised 07/15/2014 s Signa a of Con ractor/License Holder STATE OF FLORIDA COUNTY OF 3t Lucie The forgoing instrument was acknowledged before me this Z 8 day of kAtZ 20 11 by Edward D. Jendon (Name of person acknowledging) (Signature of Notary P li - State of Florida } Personally Known Type of Identification Prod u e, ,�_; .'°e`.; 1:nWA0n n t=mr% MY SOM ISSiON #FF124587 I Commission No. EXIIi May 19. 2018 :--.M C© IUSISSION #FF1245 E S May 19. 201 (407) 398-0153 F10ri(1aNntaryServioe.cr)m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS