Loading...
HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 20 i^] Permit Number: Building Permit Application Planning and DevelapmentServices 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 IMPROVEMENT LOCATION: Address: 00 0Il ae Legal Description: 39B a MIN I Q O ► ,,,� I � TN N 0© T 2 ti FT T Po b-l� aS Property Tax I D#; O l Lot No. Site Plan Name: 2 Ib Block No. Z. Project Name: Setbacks Front Back; Right Side: Left Side: 5$ DETAILED DESCRIPTION OF WORK: 'SUPOY and inStali a Qheern SO `Icon tall vla r �1ea�er• �CO�NSTRUCTION INFORMATION: or to e er orme un er Is permit-G ec a t at app y: IEHVAC Gas Tank ❑Gas Piping _Shutters Doors n Windows j� 1�l / DElectric Plumbing Sprinklers FIGenerator Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction: $ ;i Utilities. 1-15eptic Building Height: OWNER/LESSEE: CONTRACTOR: Name FSr C La Name: CRAIG MOBLEY Address: 44c) S. g r 1L.P,t.... f P.rl U Company: SOUTHERN PLUMBING, INC City; 5o r 1- 9 rCe State: EL Address: 4069 43RD AVENUE Zip Code: ll82 Pax: City; VERO BEACH State; FL Phone No.(2 1 0 - 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: SOUTHERN PL UMBING@AOL.com from the Owner listed above) State or County License: RF0087100 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. ;S J PLE_RENTAL C( NSTf U TIC?N .IEN SAW INFIDRMATiDN� -_ DESIGNER/ENGINEER: x— Not Applicable MORTGAGE COMPANY: XX 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 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 ail respects,perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The foliowing 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 tvwice for improvements to your property. A Notice of Commencement mus be recorded and posted on the.jobsite before first inspection. If you intend to obtain financing, con with lender or an attorney before l com e cin wor or recordingour Notice of Comm enceme r atur of Ow er/lessee/Agent Si re ConZDA or/License Holder STATE OF FLORIDA S ATE OF FLO COUNTY OF INDIAN RIVER COUNTY OF INDIANRIVER The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of M 20 aby this_Z day of 14&J Zp a by �vt - _ (Name of person ac no ledging) 1 (Name of person ek owledging) (Signat of Notary Pu IState of Vorida ) (Signature)Notary Pub -State of FI ida ) Personally Known OR Produced Identification Personally Known w"__OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. v= BERLY MAY Commission No. �~ PAY cOMWSSiCt1 Firaatss 9CIl�I ERCY AfI Y 2019 '' 4, �7 -l7�7 7 �7 l r......••''^ '•, = Pr1Y CCM ISSION#Ff241 6 Revised 071 1 5/20 1� Fs.noaNc;ah'Servite.con, e^ " e$ EXPIRES June 18,2019 3 g407>3S$-0153 Fb'idallowysavice.Con, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M PLETE INITIALS