HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 3,2017 Permit Number: l C
Gunning rermli Appil1Caxion
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
PERMII APPLICAIION FOR: Plumbing
I ROPUSEU IMI'KUV.tMtN,l LOCA I IU.N �,
Address: 270 NE SUMMER RD
Legal Description: RIVER PARK-UNIT 9-PART C BLK 79 LOT 4(MAP 34!215)(OR 749-354:825-983:1309-2844:1323-2088;1946-2173:3848-1482)
Property Tax[D#: 3419-570-0060-000-5 Lot No.4
Site Plan Name:__nQ_ Block No.
Project Name: YlA
Setbacks Front Back: Right Side: Left Side:
UtIAILEU UES(,KIP UN OF„WUKK #
Replacement water heater, 40 gallon natural gas
CONSTRUCTION,-INF0RMATioN
Additional work toa er orme under this permit—check,a t t appy:
HVAC 11 Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 21 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft,of First Floor:
Cost of Construction: $ 850• Utilities: o Sewer E]Septic Building Height:
01NN ER/LESSEE CONTRACTOR;; ;
Name Glenn A Edwards Name: Jason Sessanna
Address:3607 Surry Tr Company: Thermal Water Works LLC
City: Hillsborough State:NC Address: 282 NE Summer Road
Zip Code: 27278 Fax: City: Port St. Lucie State:FL
Phone No. Zip Code: 34983 Fax: nla
E-Mail: Phone No. 772-626-5015
Fill in fee simple Title Holder on next page( if different E-Mail: twaterworks@aol.com
from the Owner listed above) State or County License: CFC 1428176 Glenn A Edwards
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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S0PPLEMENIALG,U,N51KUU11ON LIEN LAW INFUKMAIIUN
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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:
Ad d cess: 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
WARN ING 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.
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ature of Owner '� � �`'p ��t � � 5. ' �� Si ature of Contra or/License,Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF S�(
The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me
this J day of �F}-p�Zl�- n' a � this day of AQ/ L ,2 �F a' I ?�[-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known kl OR Produced Identification Personally Known 1- OR Produced Identification
Type of Identification Produce Type of Identification Produced
� I RADAMEE ORLANDI 2 92
Commission No. T1�-22yZ g )IIvtISSIONNFF2292a9 Commission No. 2 6IOZ IIxEN1 � 3rrb
e` EXPIRES:May 11,2019 ZZ33 . 41 "•;
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS `.,4t.G,ETATION :SEA TURTLE„ MANGROVE
COUNTER REVIEW REVIEW REVIEW ..:'., "°;R YIEW y ;.-: .I, REVIEW'.. ." REVIEW
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