HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/27/2017 Permit Number:
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Building Permit Application 4I.Q
Planning and Development Services ASL .114 '2011
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Pti1l l-ftfl�G
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residerr�fc'� '' ', IL
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT:LO.CATION
Address: 4001 Oak Hammock Lane, Fort Pierce, Florida 34981
Legal Description:
Property Tax ID#: 2429-233-0001-040-8 Lot No.
Site Plan Name: Block No.
Project Name: Michael E. Geraghty
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTLON:OF,.WORK �{
; .
Removing Electric Water Heater.
Installing Rannai Tankless Water Heater.
CONSTRUCTION INFORMATION;
rtiona wor to e e orme under this permit-check a appy:
C�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers 0 Generator ❑ Roof Roof pitch
Total Sq.,Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 2.200.00 Utilities: Sewer Septic Building Height:
OWN ER/LESSEE Michael.E Geraghty CONTRACTOR Kemp Krueger 4K Plumbing&Consulting S,�wces,Inc.
Name Michael E.Geraghty Name: Kempton D. Krueger
Address:4001 Oak Hammock Lane Company: Kemp Krueger 4K Plumbing&Consulting Services, Inc.
City: 'Fort Pierce State:F1 Address: 1341 SW Amboy Avenue
Zip Code: 34981 Fax: City: Port Saint Lucie State..FI
Phone No. Zip Code: 34953 Fax: 772-344-6789
E-Mail: Phone No. 772-344-6789
Fill in fee simple Title Holder on next page(if different E-Mail: Kemperdean@aol.com
from the Owner listed above) State or County License: 1001534
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 TITLEHOLDER: _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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Sign ture df Owner/Lesse ontr or as Agent for Owner ature Uf Contractor nse H r
STATE OF FLORIDA STATE OF FLORIDPA
COUNTY OF �'SC COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrent was acknowledged before me
this k day of 20 ULby this�day of 20 1�1_by
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(Name of person acknowledging) (Name of person acknowledging)
Si atu of Notary Public-State o Florida) gna re of Notary Public-01 l a of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Typa of Identification Produced Type of Identification Produced
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Commis ton No. 4 —:(Seal) Commission No. _ (Seal)
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DATE
COMPLETE
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