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HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 Residential XXXX PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 3613 Orange Ave Legal Description: 8 35 40 E 200 FT OF W 400 FT OF S 185 FT OF N 225 FT OF FOL DESC PROP: E V2 OF N€ 114 OF NW 114 OF SW 114 AND NW 114 OF NE 114 OF SW 114 - SiJBJECT TO DR ESMT OVER W 10 FT AS IN OR 210-843- LESS AS IN ORD TAKING CA #82-59-05 OR 376-2324- (0.81 AC) (OR 2195-2378) Property Tax ID #: 2408-312-000"00-8 Site Plan Name: Project Name: Setbacks Front Back. DETAILED DESCRIPTION OF WORK:. Replace 40 gal elec HWH Right Side: lclitional worKto be ertormed under this permit—check a HVAC Gas Tarok ❑Gas Piping Electric ❑ Plumbing E]Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 895.00 Left Side: LJ Shutters ❑ Generator Sq. Ft. of First Floor: _ Utilities: 0 Sewer O Septic Lot No. Block No. ❑ Windows/Doors Roof Building Height: OWNER/LESSEE: CONTRACTOR: Name VanAntwerp Properties LLC 19 Address: 452 Wenthrop Cir Company: CRS Plumbing CC]tat'1TY' F Address: P',O. Box 12755 p R 1 D. 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 XXXX PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 3613 Orange Ave Legal Description: 8 35 40 E 200 FT OF W 400 FT OF S 185 FT OF N 225 FT OF FOL DESC PROP: E V2 OF N€ 114 OF NW 114 OF SW 114 AND NW 114 OF NE 114 OF SW 114 - SiJBJECT TO DR ESMT OVER W 10 FT AS IN OR 210-843- LESS AS IN ORD TAKING CA #82-59-05 OR 376-2324- (0.81 AC) (OR 2195-2378) Property Tax ID #: 2408-312-000"00-8 Site Plan Name: Project Name: Setbacks Front Back. DETAILED DESCRIPTION OF WORK:. Replace 40 gal elec HWH Right Side: lclitional worKto be ertormed under this permit—check a HVAC Gas Tarok ❑Gas Piping Electric ❑ Plumbing E]Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 895.00 Left Side: LJ Shutters ❑ Generator Sq. Ft. of First Floor: _ Utilities: 0 Sewer O Septic Lot No. Block No. ❑ Windows/Doors Roof Building Height: OWNER/LESSEE: CONTRACTOR: Name VanAntwerp Properties LLC Nairn: Reed Sudderth Address: 452 Wenthrop Cir Company: CRS Plumbing City: Rockledge State: FL Zip Code: 32955 Fax: Phone No. 321-863-7631 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 Holder on next page ( if different from the Owner listed above) E -Mail: crsplumbing@bellsouth.net State or County License: CFC1426853 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: � Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: City: 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. S _ Sig ure of owner/ Lessee/Agent Sign re of Contractor/License Holder STATE OF FLORIDA COUNTY OF st -- The forgoing instrument was acknowledged before me this __:2_ day of Aur, , 20 (-L-by Edward O. Jendon (Name of person acknowledging) re of Notary Pupli4- State of Florida ) Personally Known Y° OR Produced en ilea ion Type of Identificati a�`$rarts{u iEDWARD D JENDON My COMMISSION *FF124587 Commission No. ''f 0, EXPIRE 19, 2()18 396-01M Revised 07/15/2014 STATE OF FLORIDA COUNTYOF stLd. The forgoing instrument was acknowledged before me this 7 day of AK . 20 j_L_ by Edward D. Jendon (Name of person acknowledging) — 9"�4a Q ( ignature of Notary ",+Public- State of Florida ) Personally o L/ ro uce n Type of Ide tr'PPc .r Pr RD D .TENDON y `i My COMMISSION *FF124587 r Commissio unci � 'f EXPIRES May 105cg0a (407) 398-0153 FlaridaNctaryServicexurn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS