HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .� }
Date: Permit Number: l
Building Permit Application
Planning and Development Services �JUN � {ls�
Building and Code Regulation Division ? pERA,I iPiG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Coun,y, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Plumbing
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Address: 614 W WEATHERBEE RD
Legal Description:
Property Tax ID#: 2434-334-0004-010-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
4,4
DETAILED'.DESCRIPTIONxOF�1JV®RK � =' " �` � °
RUN 200 FT OF NEW WATER LINE FROM METER TO HOUSE. INSTALL MOEN SHOWER
VALVE WITH HANDHELD SPRAYER, 2 LAVATORY FAUCETS WITH 4 ANGLE STOPS
Co FORM � ,
•R ,° �,1,..- a.v, ,, .. ,w.; $ ;m�0o,�,u'1 ctR'., A,a .b�.�s,uryG,.. `��. �"'`� .Y„ , a � �BJ,t a �,..;. . w 'N.��,�9,,
Additional work to e e orme under this permit=c ec a appy:
HVAC D Gas Tank ❑Gas Piping _1)Shutters n Windows Doors
L.l /
Electric Z✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4,009.00 Utilities:cnSewer Septic Building Height:
OWNER/LESSEE }g. w � >
r .,. ° � CQNTRA�C�T®R�
Name DEBRA EVERINGTON Name: RICHARD BASSOFFR
Address:5405 TRINIDAD DR Company: ADMIRAL PLUMBING SERVICES, LLC
City: TALLAHASSEE State:FL Address: 2895 JUPITER PARK DRIVE#700
Zip Code: 32310 Fax: City: JUPITER State:FL
Phone No. Zip Code: 33458 Fax:
E-Mail: Phone No. 561 746-1180
Fill in fee simple Title Holder on next page(if different E-Mail: christine@theadmiralpiumber.com
from the Owner listed above) State or County License: CFC 1426115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION�LIEN,LAIA! 1N'FORMATION:
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—,
s
_Signat of Owner/Lessee/Agent Signature of Contractor/Li nse IiIder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALMBEACH
The f oing instryynent was acknowledged efore me The for oing instrument was acknowledged before me
this day of ,14,t 20 edged
this day of20 by
,f�t/V� �/-�,�I��;.�rpn ��I�u,rcil 1"�'�'�•i?�
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Sig ture of Notary Public-State of Florida)
Personally Known �OR Produced Identification P rsonally Known
Type of Identification Pro Type of Identification Prod etl
'yPtiblic 42
Notary Public state of Florida Susan Clark Costa
Commission No.v1' b My Isla kCosta Commission No.���b c` MyOe>atl slonGG032841
c My omm slop GG 032841 pdA Expires 11/13/2020
��or atidF° Expires 1111312020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS