HomeMy WebLinkAboutBuilding Permit Application Sep, 28, 2017 3: 55PM No. 7392 P. 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �l
Date: 'a-q' l7 Permit Number: O �lJ
•
RECEIVED
Building Permit Application SEP 2 9 2017
Plonning and Development Services PER-MITTING
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie,county, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
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Address: 8006 Lakeland Blvd
Legal Description: Lakewood Park-Unit 7-Blk 74 Lot 1 (Map 13102N)(Or 566-494;2183-1710:2383-2097)
Property Tax ID#:-I.YBD Lot No.1
Site Plan Name; Block No.
Project Name:
Setbacks Front Back; Right Side: Left Side:
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Install customer supplied 50 gallon electric water heater
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t ona worK to 13A nerformeU under this perms —cneCK a 11 appy:
❑HVAC Gas Tank []Gas Piping _Shutters Q Windows/Doors
Electric LTJ Plumbing []Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 265.00 UtllltleS:n Sewer OSeptic Building Height:
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Name Susan W McMahon Name: Gary W Evers
Address:8006 Lakeland Blvd Company: First Quality Plumbing
City: Fort Plerce State:FL Address: 746 Volusla Blvd
Zip Code: 34951 Fax: City: Orange City State:FL
Phone No.772-971-2885 Zip Code: $2763 pax: 321-610-3919
E-Mail: Phone No. 321-253-3939
Fill In fee simple Title Holder on next page(if different E-Mail: dlapele@fgplumbing.com
from the Owner listed above) State or County License: CFG050566
If value 0f Constructlon Is$2500 or more,a RECORDED Notice of Commencement is required.
Sep. 29, 2017 8:29AM No. 7402 P. I
P'P-c,it�"1~7&9 - Oqff,3
DESIGNER/ENGINEER; Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Susan wmcmabon Name:Gary WEvers
Address:6000 Lakeland alvd Address: 5006 Lakeland Blvd
City., Fodpier�e State: City: Grangeory State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY, _Not Applicable
Name: Name:—
Address-,746 volmla Blvd Address:
City: City:
Zip-, Phone: Zip:—Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that no work or installation has commenced prior to the issuance of a permit,
St.Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in conxict 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
.1mrovernents 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
ornmencing work or recording your Notice of Commencement.
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Signature of owner/Lessee7Contractor as Agt*t46r Owner Signature of contractor/License Holder----'
STATE OF FLORID STATE OF FLORIDA
COUNTY OF FLORIDA
Cf \Jck-F—d COUNTY OF—71 E Va f-Cl
The forgoing instrument was acknowledged before me The for ng Instr ent was acknowledged before me
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this'2—Vkoldlay - reo—elrnaket- 20l by
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Name a e so aking statement Nam persomaklng statement
Personally Known OR Produced Identification— Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary L (Signature of Notary P
P 1 '411,'. D"ETAPETE
110VA "P
ON
D ET.LAPM MY 060010293
E 'Commission No. Commission Na.
J,iy3i.2020
2119 ju:
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17