HomeMy WebLinkAboutBuilding Permit Application May 0917 08:02a Jensen Beach Plumbing 772-225-6779 p.1
ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 '�' Permit Number:
Building Permit Application MAY p 8 2017
Planning and Development Services
Building and Code Regulation Division PEPM ITTI NG
2300 Virginia A venve,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from.dropbox, click arrow at the end of line�1v
PROPOSED IMPROVEMENT LOCATION:
Address: 1654 NW Buttonbush Circle,Palm City FL 34990
Legal Description: Harbor Ridge-Plat 19-Tallowood Village Lot 5(or 2981-1057)
Property Tax ID#: 4426-840-0006-000-2 Lot No.5
Site Plan Name: Block No.
Project Name: Wood Bathroom remodel
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing cultured marble tub& install new drop in tub. Replace toilet, sink faucets, tub valve &
faucet& shower valve & trim.
CONSTRUCTION INFORMATION:
rtiona wor to e e orme under tis —checkpermit a apply:
aHVAC -Gas Tank FGas Piping _Shutters a Windows/Doors
❑Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,800.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Alexander&Barbara Wood Name: Lonnie Culbertson
Address-1654 NW Buttonbush Circle Company: Jensen Beach Plumbing,Inc.
City: Palm City State: FL Address- 1086 NE Industrial Blvd
Zip Code: 34990 Fax: City: Jensen Beach State: FL
Phone No. Zip Code: 34957 Fax: 772-225-6779
E-Mail: Phone No. (772)225-6600
Fill in fee simple Title Holder on next page(if different E-Mail: JBPlumbing@bellsouth.net
from the Owner listed above) State or County License: RF11067372/SLC24654
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 091708:02a Jensen Beach Plumbing 772-225-6779 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: ^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 ol'a permit.
St. LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
i
which is n conflict with any applicable Home Owners Association rules,bylaws or ancoveriants that mayrestrictor prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which mayapply.
Inconsideration 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 your Notice of Commencement.
Silfnature of Owner/Lessee/Contractor as Agent for owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
. COUNTYOFA(tjQJJ liJ COUNTY OF MARTIN
The oinginstrumigntmiasacknowledgeUeforeme The forgoing instrument was acknowledged before me
this day of IN—w 20 V-1 by this ''' day of mAy
201 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally Known V OR Produced Identification Personally Known XX OR Produced Identification
Type of Identification Produced Type of Identification Produced
nri��y1 MPJ
MARIAH MILLS
kssiDn 9 FF 023763 LS
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Commission No, (Sea Commission No. IWKHIAILLS
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Expires June 3,24t7 InInimmp
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
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