HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 X
PERMIT APPLICATION FOR: Plumbing
SkPRQPO51�1)''ll�llPtOVE11tlENT L7CATION �3 _ ONE,
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Address: 605 BEACH AVE
Legal Description: RIVER PARK-UNIT 2-BLK 16 LOT 12(MAP 34/22N)(OR 1282-2040)
Property Tax ID#: 3419-510-0177-000-2 Lot No.12
Site Plan Name: 605 BEACH AVE Block No. 16
Project Name. 605 BEACH AVE
Setbacks Front Back: Right Side: Left Side:
DETAILED t)ESCRIFT10N01=1NOItf
Replace existing.galvanized water service pipe from meter to house with PVC pipe
ONSTRUCfION INFCRIATIQN' ' .. � .w..., .. s � z �, x
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Additional work toe performed un ert Is permit—Check aappy: w
OHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers a Generator Roof Roof pitch
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 1500. Utilities:Sewer Septic Building Height:
OW{VER/LES£SEE ~ CONTRACTOR 3fi�
Name Jesus Mejias Jr&Dulce M Mejias Name: James Sinclair
Address:605 BEACH AVE Company: Mr Rooter of the Treasure Coast
City: Port Saint Lucie State:FL Address: 534 NW Mercantile PI,suite 119
Zip Code: 34952 Fax: City: Port Saint Lucie -FL
Phone No. Zip Code: 34986 Fax:
E-Mail: Phone No. (772)236-7300
Fill in fee simple Title Holder on next page(if different E-Mail: james.mrrooter@gmail.com
from the Owner listed above) State or County License: CFC1425604
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
=SUPPLEMENTAL'CONSTRUCTION
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
commeding work or recording our Notice of Commencement.
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Signal 4 of Owner/Lessee/Contractor as Agent for Owner Sig lure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF :-:A x"L ii A COUNTY OF f cu o g
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisI(- day of Qcg)r%k 20 Ill by this-2 day of Q r 20 0 by
(Name of person acknowledging) (Name of person acknowledging)
(Sig tore of Notary Public-State of GFtcla) (Signature of Notary Public-State VFlorida)
Personally Known OR Produced Identification Personally Known 1,--"0R Produced.ldentification
Type of Identification Produced Type of Identification Produced'
r..... KRISTEN L BENSL
Commission NoR°70�1 `"��� `
Q s•;►a• KRISTEN l BE!SCbYnmis on No. Ikoury Public•State of orlds
3 s wary Public•Stat of Florida Commission*FF 97 05
•' k F 97." �?,
.4y'Iomm r-yalres M- 2020
�'•' .�•, My Comm.Expires Mar 10.202011,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS