HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFrO1 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
Building Permit Application JUL 13 201?
Planning and Development Services
Building and Code Regulation Division PEh::''1T-riPlG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C"cL;nty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8402 winter Garden Parkway Fort pierce
Legal Description:
Property Tax ID#: 1301-605-0356-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Mcfield
Setbacks Front Back: Right Side: Left Side:
u .
DETAILED_DE§ ':I TION OFWORK ;� � =
Remove existing tub and install a new walk in tub no tile or drywall work being done
CONSTRUCTION.INFORMATION.
Additional work toe nerformed under this permit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑✓ Plumbing OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 10 Q Utilities: Sewer OSeptic Building Height:
OWER/LESSEE:NER/LESSEE. .r CONTRACTOR:
Name Robert Mcfield Name: Michael Coleman
Address:8402 Winter Garden Parkway Company: Prefab Plumbing inc
City: Fort Pierce State:fl Address: 1100 Carr st
Zip Code: 34951 Fax: City: Palatka State:fi
Phone No.810 240-3528 Zip Code: 32177 Fax:
E-Mail: Phone No. 386 546-7643
Fill in fee simple Title Holder on next page(if different E-Mail: mgcl980@gmail.com
from the Owner listed above) State or County License: CFC043003
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION-LIE N 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 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.
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Signature of wner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF COUNTY OF Ptd � STATE OF FLOI;IB�A 610JO n
IIJJ�� COUNTY OF�_1_��jj U
The Vday
ing instrum t was acknowledge fore me The forgoing instrument as acknowledg fore me
this of U 20 by this�day of 20 by
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Mtdo16�_M'y a
(Name of pe on acknow ledgi ) (Name of ,erson acknow le ing)
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(Signature f tate of Florida) (Signatu o to P ic-State of Florida)
Persona *Ac ' ation Pe rso ally Known oduced Identification
Type of on D N POCKER I Type f Ir t tibxfticatiw,"
MY COMMISSION#GG04194J " MY COMMISSION#GG0494�2Commis ids EXPIRES November 21��pCom EXPRES Move. r 21,202V al)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS