HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 S(S Permit Number:
L,' - RECEIVED MAR 3 0 2017
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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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENTLOCAT(0,N:
Address: 10152 S Ocean Dr Apt 713B
Legal Description: ATLANTIS CONDOMINIUM BLDG B UNIT713B
Property Tax ID#: 4502-803-0060-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED',DESCRIPTION OFfV1/ORK:
,wo-Acr heal ev chori j e- Ocd- 258�� 1
CONSTRUCTION:INFORMATION ,
Additional work toe performed under this permit—check all that appy:
RVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
lectric 0✓ Plumbing Sprinklers El Generator El Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 500 Utilities:cn Sewer 0 Septic Building Height:
OWNER/LESSEE:. .. . „ COIVTRACTOR.'.
Name Robert Thomson Audrey L Thomson Name: Allen Steinman
Address: 10152 S Ocean Dr Apt 713B Company: Service America
City: Jensen Beach State:FL Address: 2755 NW 63rd Ct
Zip Code: 34957 Fax: City: Ft. Lauderdale State:FI
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No 954-979-1100
Fill in fee simple Title Holder on next page (if different E-Mail: epermitsgroup@serviceamerica.com
from the Owner listed above) State or County License: CFC057026
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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, 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
commgXing.Work or recording our Notice of Commencement.
- s
Signa re o Owner/ e�ssee/Contractor-as-Agent_for'Owne Signat e f Contractor/License Holder
STAOF FLORIDASTATE OF FLORIDA
COUNTY OF &0 JCW(4 COUNTY OF ��OU)ai0
The for,going instr m nt was acknowledged before me The forgoing instr m ht was acknowledged before me
this G ay of a'0$1 20 fby this H day of C1vC/VJ 20 n by
e!h 7
(Name f per w edging) (Nam of perso a cnowledgi g)
(S' natu of Nota Public-State of Florida) ignature o Notary ublic-State of Florida)
Person n uced Id tf' Per nown dur.�d-l�laaif'
�r e gh,'
f�a�a�a y—
Type of Identification r dv �F,efida Type of Identification Pr d
' o �
N e m fission*GG 33870 2 ® Notary PuCblic-1,State of Florida
Commission No. �° gEx ires9/2712020 Commission No. Comrrh5§I@P#GG 33870,
Fop.F�° s,FO F F `o� Expires 9/27/2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS