HomeMy WebLinkAboutBuilding Permit Application `w.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' STPermit Number: E
a r
-- - -- Building Permit Application AUG 2 F 2017
Planning and Development Services f�. ri�i i'TI(•!U
Building and Code Regulation Division St. . FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED.IMPROUEMENT IOCATI;(JN,
Address: 60
.15 Sebastian QC�ad
Legal Description: La 1Cewooc i Par 4-u n i l" i 2 13LlC 1 l01 LOT 15 LMAP 13 111-0--
-0
4R. 31.28 ~ 2-1n)
Property Tax ID#: 13M `LPI L1 013 -QCQ 3 Lot No. 15
Site Plan Name: Block No. to
Project Name:
Setbacks Front n Back: Right Side: Left Side:
CETAILED pECRIPTION
F'1
Run ail nfvv ePve water I roes to ail fixtrureso
CONSTR`UCTI'ON INFORMATION
i lona woro ..e,.er orme under this permit—cnecK all that appy:
111 HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator LTJ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:S t'�00 OD utilities:0 Sewer I Septic Building Height:
OWNER/LESSEE 4 CCJNTRACTOR
Name Mime r,e, Name: CRAIG MOBLEY
Address:Ucio� ash i a to goad _ Company: SOUTHERN PLUMBING, INC
City: Fort P i GrCP State: ' L Address- 4069 43RD AVENUE
Zip Code: 34q 131 Fax: N City: VERO BEACH State:FL
Phone No. 2-21 ,,-,2rici?_ Zip Code: 32960 Fax: 772-978-9843
1E-Mail: NiKILe,1 %6 nanaSn-com Phone No. 772-564-6980
Fill in fee simple Title Holder on next page(if different E-Mail: SOUTHERNPLUMBING@AOL.COM
from the Owner listed above) State or County License: RF0067100
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 1 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
improve is to your property.A Notice of Commencement mu be recorded and posted on the jobsite
before lVefirst inspection. If you intend to obtain financing, con with lender or an attorney before
commeficilig work cir recording our Notice of Commencemen .
-7 `7 Ls
Sign u of 0 ner/1_ ssee/Agent Signa r of C ntractor/ icense Holder
,STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF INDIAN RIVER COUNTY OF INDIANRIVER
The f r ing instru ent was acknowledged before me The forg ing instr ent was acknowledged before me
this- day of Gl 20 E by this day of l 20 "'Off) by
(Name of pero acknowledging) (Name of person nowledging)
v
(Signat re of NotarPublic-StaVe of Florida (Signatu a of Notary PubliM State of Florida)
Personally Known "Oe' OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced- - Type of identification Produced
.. KiFdlIB Y BRAY
Commission No. COMMI Commission No. w .��}
#FF241665 K3MOVRL' MAY
EXPIRES June 18,2019 g: My COMMISSION#FF241665
`(n )398-0153 FloridallotaryServi o.com ''�'�oe Y+ ,.� EXPIRES June 18,2019
Revised 07/15/2014 (407)398-0153 FIoridallolaryService.com
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