HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICAB,I.E MUST BE COfVIPLETED FOR APPTICATION TO BE ACCEPTED
Darci 0712512017 Permit Number:
Building Perrnit Application
Sery,ces
Building ond Cade Rpgulation Division
2300 Virginia ,avenul; Fort Pierce FL 34982
Phone: (7721 462-fF53 Fax: (772\ 462-Ls7B Commercial Residential x
TION FOR: ptumbing
Address: Lake Vist{ [rail Unit 203, Port Saint Lucie 349b2
Legal Desriptiion:A ST LUCIE BLDG 4 UNIT 203 (OR 37OO-1404)
Property Tax lD #;22-500-0052-.000-9 Lot No.
Site Plan Name:Block No.
Project Name: "Jo.&I're1__
Setbacks Front Back:Right Side: Left Side:
remove the e;xisti
located inside of
30 Gallon lowboy water heater, install
closet
a new 30 Gallon electric water heater
w0
E
T
HVAC
Electric
Gas Tank lleas ntping Shutters
Generator
l_l *,noo*s/Doors
t
|-71ly' | plurng;ng
i
l_lsprinklers I l-l nror E Roorpitch
Total Sq. Ft of Cons ruction:Sq, Ft. of First Floor:|_tn
s: L-lSewer I lseptic Buflkjing Height:Cost of
Nltmg Jose Rarnlrez
Address: Caroursel
City: Lido Beach
ZiP Code: 119'61 Fax:
phone Ns.772l
E-Mail:
Fill in fee simple Holder on next page ( if different
from the Owner [i above)
lf value of is 52500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLI
PROPOSED I.M OVEMENT LOCATIOITI:
DETAILED DESCRI,PTION OF WO.RK:
INFORMATI.ON:
Company: Cookes Plumbing & lS_t4rtic
Address: 3100 SE Waaler Street
ysy.772287-1570
phone y1s.772287-0651
E-Mail: info@callcookes.com
State or County License: tl9g{f,!1
I certify that no work of installation has commenced prior to the issuance of a oermit.
st- Lucie county.rnakep no repre.qentation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls In^conTllct wltn.any appllcable Home Owners Association.rules, bvlaws or and covenants that maV restrict <jr prohibit suchstructure. Please consult with your Honle Owners Association and review'your deed for any rest,rictions rriihich may a[ply.
ln consid.eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the Fpproved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building flermit applications are exempt from undergoing a full concurrency review: room arlditions,
accessory structures, svlTimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
of Commencement must be recorded and bCIstdd bnlhe jobsite
. lf.you intend to obtain financing, consult with lender or an attorney bef6re
commencing work 0r recordi r Notice of Commencement.s*
Signature of Owner
STATE OF
COUNW OF
il,:ga["':;
(Sebl)Commission No.
Revised O7lIli120'.14
was acknowledged before me
zo l*7 Uv
Personally Knowrr
Type of ldentification
S,U PPLEM ENTAL CONSTR UCTION L1EN LAW I N FORMATION :
DESIGNER/ENGINEER: Not Applicable
FEE SIMPLE Tl"ttE l'fOtDER: __ Not Applicable
MORTGAGE COMPANY: __ Not Applicable
Name:
BONDING COMPANY: -_Not Applicable
Name:
STATEOFFTORIDA ,,. r
couNrY or /YAfat ty,
Type of ldentification Produced
Commission No,
(Name of person acknowledgi tn<ro - --vl 'tlt'\^^,t,ln
ffi_ *r.g^H4?mnrror[os s,leffi]j$Yfa+er