HomeMy WebLinkAboutPermit - 3404 Menendez - signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
•
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 XXXX Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3404 Menendez
Legal Description: DARK HAMMOCK ESTATES -UNIT ONE- BLK 2 LOT 4 AND W 17 FT OF LOT 5 (0.46 AC) (OR 1536-589:1814-1230)
Property Tax ID #: 2408-702-0006-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
Replace existing 50 gallon tall electric HWH
itiona war to MGa
orme under this permit — check all apply:
HVAC s Tank []Gas Piping _ Shutters Windows/Doors
Electric 1:1Plumbing E]Sprinkiers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 835.00
Sq. Ft. of First Floor:
Utilities: Fewer D Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ARC of St Lucie County
Name: Reed Sudderth
Address: P.O. Box 1016
Company: CRS Plumbing
City: Fork Pierce State: FL
Zip Code: 34954 Fax:
Phone No. 772-618-0956
Address: P.O. Box 12755
City: Fort Pierce State: FL
Zip Code. 34979 Fax: 772-460-7774
Phone No. 772-466-7763
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail: crspiumbing@bellsouth.net
State or County License: CFC1426853
If value of construction is 52500 or more, a KECUKULU Nonce or Lommencemem: is requireu.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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
improvements to your property. A Notice of Comme
before the first inspection. If you intend to obtain fin
of Commencement may result in your paying twice for
ncement must be recorded and posted on the jobsite
ancing, consult with lender or an attorney before
LUIIII IICI ILII Ik VVUI IC UI 1 CLUI UlI lr VUUI IWUI.ILC UI LUI Ili I ICI ILCI1ICE I L.
. - J , '�'
_ Si re of Owner/ Lessee Agent
STATE OF FLORIDA
CC;UN7Y OF st we
The forgoing instrument was acknowledged before me
this * day of JUtJ 20 1'1 by
Edward D. Jendon
(Name of person acknowledging ]
(Signature of Notary Public- t e of Florida }
Personally Known oe � ro uce en 1 Ica Ion
Type of Identification o"' J. d°`�`a EDWARD D JEIM7UN
MY COMMISSION #FF124587
Commission No. 7? EXPIf May 19, 2fl18
(401) 398-0153 Floridallora 5eNICe,COm
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF sl—
The forgoing instrument was acknowledged before me
this Z3 day of J fJ0 , 20 j -L by
Edward D. Jendon
(Name of person acknowle, ng
(S nature of Notary Pub"ate ate of Florida }
Personally Known V- P .,
"A4=
Type of Identification P od8c�i o� EDWARD D JENDON
'= MY COMMISSION #FF1 24587
Commission No. 'd�° EXPIi*1ay 19, 2018
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