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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date` — Permit Number: a Planning and DeveiopmentServices Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone: (772)462-1553 Fax; (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: plumbing PROPOSED IMPROVEMENT LOCATION: Address: � Legal Description: 1-11rancl ISI-e of Nartyt Buchinson IsianI Can&—linilynn o Ir - I I o r - Property Tax ID#:AA23 - so-1 ()ag_cow $ _ _ � Lot No. 0101 Site Plan Name: Block No. Project Name: Setbacks Front Back; Right Side: Left Side: DETAILED DESCRIPTION OF WORK: SuPPily � lnsfaw a Sa 9@ "On fall Qheem etc C- -ri C W a f e.,r h t�a t-e r CONSTRUCTION INFORMATION: ititiona wor to e er orme under t Is permit -c ec a t at app y: 1-JHVaC Gas Tank ❑Gas Piping Shutters f Windows/Doors!�! Electric Plumbing Sprinklers Generator Roof Totaf Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction: $ �� O • OQ Utilities:nSewer 11 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ane.+- riqesscr Name: CRAIG MOBLEY - Address: © ter Qc'�1'f` Company: 8OUTHERN PLUMBING, INC City: State: L Address: 4069 43RD AVENUE Zip Code:Z4410{ Fax: City: VERO BEACH State: FL Phone No.�C)3 4-1�-1 Zip Code: 32960 Fax: 772-978-9843 E-Mail: Phone No. 772-564-6980 Fill in fee simple Title Holder on next page(if different E-Mail: SOUTHERNPL.UMBING@AOL.GOM from the Owner listed above) State or County License; RF0067100 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEWNTAL CQ,,N RUCTION LIEN Ai 11:1 C?RMA, ON DESIGNER/ENGINEER: x� Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 �4 which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such 0.. structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. Soo In consideration of the granting of this requested permit, I do hereby agree that I wiii,in all respects, perform the work n accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments, e fodlowing building permit applications are exempt from undergoing a full concurrency review: room additions, cessory structures,swimming pools,fences, walls,signs,screen rooms and accessory uses to another non-residential use RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for rovements to your property. A Notice of Commencement mu be recorded and posted on the jobsite ore th irst inspection. If you intend to obtain financing, con It with lender or an attorney before mme i work or recording our Notice of Commenceme s 5i natu f ner/ essee/Agent Sig at e of ontraZA r/License Holder STATE OF FLORIDA /S�TAT OF FLORI COUNTY OF INNAN RIVER COUNTY OF INDEANRIVER The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 ___-by this day of 20 by e �f (Name of persona kn wledging) L (Name of pers n a knowledging) (Signatu of Notary Pu I' -State of F46rida ) (signatur of Notary Pu c-State of orida } Personally Known wl""' OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced _ Commission No. C mmission No, (seal) w_... *u MY COMMISSION#fi FF241 G5 K IORLY MAY ;; uF . ,, EXPIRES,dune 1 : My COMMISSION 4 PF241665. Revised 07/15/2014 c ' "` �wra�No� EXPIRES Jure 18,2019 a fl o 33 (41°7'3935-0183 FiuriOdalloi�ry$ervice-cor REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE — CO M P LETE INITIALS