HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �cbvI 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
114=111''r'L11111 ; ;/r / -, i/F ✓/ / ./r
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Address: 7203 Marsh Terr
Legal Description: Marsh Landing at the Reserve-Phase Two-Lot 57
Pro pertyTax ID#: 3321-805-0022-000-6 Lot No.57
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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I needed to replace one leaking hot water heater. E_ l ec
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Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric ❑✓ Plumbing Sprinklers ElGenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 500.00 Utilities:n Sewer O Septic Building Height:
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Name David Roberts Name: Bradley R Beddome
Address:7203 Marsh Terr Company: B&N Plumbing
City: Port St. Lucie State:F1 Address: 731 Sw Great Exuma Cv
Zip Code: 34986 Fax: City: Port St Lucie State:FI
Phone No.508.264.5709 Zip Code: 34986 Fax:
E-Mail:davidr0007@aol.com Phone No. 772.237.5000
Fill in fee simple Title Holder on next page(if different E-Mail: bandnplumbing@gmail.com
from the Owner listed above) State or County License: CFC1428057
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
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 our Notice of Commencement.
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Signature of ner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF 111-0411r”, STATE OF FLORIDA
COUNTY OF -� COUNTY OF S} . 1►uce�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Q et'• , 20 _by this U) day of CIL 20 T by
IL 46 VYI%—
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu c-State of Florida) (Signature of Notary Pu lic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identificati n
Type of Identification Produ a Type of Identificatio
•v''v'�•,, DEANNA MARIE GIVENS ci4''�"•' = MY COMtdISSION#GG 022023
Commission No. ' =` MY� t1iSSION#GG022023 Commission No.S
=i�•.• ;a EXPIRES:December 16,2020 EXPIRES��� oer 16,2020
,',;F�F�;o?•' BondedThruNotaryPubficUnderwriters
%;o�i��'� Bonded Thru Notary Public Undervmters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS