HomeMy WebLinkAbout1707-0624 (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(,��(�
Date: Permit Number: 1`�1M 'V`w`'r"
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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: I;
Address: 1736 Pondberry Lane, Port Saint Lucie, Florida 34952
Legal Description: Lake Lucie Estates Plat No.One Lot 148
Property Tax ID#: 3426-703-0162-000-8 Lot No.148
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Guest bathroom; Set tub, Install tub/shower valve, cap off water closet and sink.
Master bathroom; Install shower pan and drain strainer, new shower valve and diverter valve, cap off
sink and water closet. Guest bathroom to be done and inspected first then the master, so homeowners
till have i ls,aas,_of the other bathroom duArona remodels-
CONSTRUCTION INFORMATION:
Additional work toe e orme un er this permit—check a appy:
HVAC Ei Gas Tank ElGas Piping _Shutters l Windows/Doors
11 Electric 0 Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 2.000 Utilities: Sewer Septic Building Height:
-OWNER/LESSEE: CONTRACTOR:. "I
NameSuzan and Bill Eshleman Name: Gregory R.Bassettl
Address:1736 Pondberry Lane Company: Wellworth Plumbing LLC
City: Port Saint Lucie State:Fl Address: 1016 Antilles Ave
Zip Code: 34952 Fax: City: Fort Pierce State:FI
Phone No.772-812-0169 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-579-2462
Fill in fee simple Title Holder on next page(if different E-Mail: wellworthplumbingllc@aol.com
from the Owner listed above) State or County License. CFC1428815
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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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
Al s
ignature of 021DARI..
r/Lessee/Contractor as Agent for Owner £fignature of tractor/License Holder
STATE OF FSTATE OF FLORIDACOUNTY OF �`5�` � Q A r�, R COUNTY OF
The for oing instr me t was acknowledged before me The forgoing instru ent was acknowledged before me
this day of 20 _aby this:Z day of ) 20 a by
(Name of pers ackn ledging) (Name of person acknowled i g)
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(Signa ure 6f Notary Public-State aFloricla) jr� ture of NotaryPublic0state of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatiom<'Re.6d"uced LAPV4Aun ' .P Type of Identification Produced
< y� ,n
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Notary Public-State of Florida
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Commission No. ,�=�\ >r7mi n_?84y Comm.E(5ga�De Commission No., .-(Seal),
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De.20,201 a '
Cil '.,Foto;:° Commission FF P LASHAHNA INGRA
Bonded 177249 `�'"Y �'-
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IvuldfY 98n ) W-11,"
My Comm.Expires Dec 20,2018
Revised 07/15/2014 ;' Comrntssion FF 177246
Bonded through National Notary Assn.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW , REVIEW REVIEW
DATE
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INITIALS