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HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I* I� Permit Number: J 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 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address; 6� bq 'FL 3Y9S Legal Description: ,-)C'Lt+©k- i n o '3h o n (Pb 93-0 .U± ltd Property Tax I D #: 131 Z, -5 v Lot No. 13 Site Plan Name: Project Name: _ Setbacks Front Back: Right Side: Left Side: Block No. I DETAILED DESCRIPTION OF WORK: I 0 FJOLC e _--D &� +aj) F_'1_ t> Ice +r' C) CONSTRUCTION INFORMATION: Additional work tate nertormed under this permit — check a that apply: HVAC Gas Tank E]Gas Piping ❑ Shutters ❑ Windows/Doors Electric 0Plumbing � Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ ` SFt.j of First Floor: _ Utilities: LJ Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: CRAIG MOBLEY Company: SOUTHERN PLUMBING, INC - Address: 4069 43RD AVENUE Address:S x`46 City: 4. Y State: F Zip Code: S Fax: Phone No. - ^ ZI O E -Mail: 41 A Fill in fee simple Title Holder on next page ( if different from the Owner listed above) City: VERO BEACH State: FL Zip Code: 32960 Fax: 772-978-9843 Phone No. 772-564-6980 E -Mail: SOUTHERN PLUMBING a@AOL.COM State or County License: RF0067100 IT value or construction is �,asuu or more, a RELURVED Notice of Commencement is required. SUPL'ENfilTAl CQNSTRUCTIflN HIEN :LAW' INFaRM►T[aN: , DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: X Not Applicable State: x Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip, Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit, X— Not Applicable tate: X Not Applicable St, Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Associatfon 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 Wiice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before qhgyirst inspection. If you intend to obtain financing, const' with lender or an attorney before comm ci g work or recording your Notice of Commencement/ 1 /4 s _ St nature f wne Lessee/Agent Sig of ontraor/License Holder STATE OF FLORIDA STATE` OF FLORI A COUNTY OF INDIAN RIVER COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 110 day of NkjLft t'1?• }( , 20 aby this _ID day of MMn )Cr , 20 L3- by owm1 M iP1 I (Name of pe so acknowledging) I (Name of per on gingJ { ignat re of Nota r u lic- Stat of Ffarida) (Signatu a of Notary t0c- State ouloricla } Personally Known '� OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced _ Commission No. 4e":'ff PJii� f Commission No. L "- MY COMMISSION # FP241665 v�p•.+::-';y�: i ERLY MAY_ i ne. 16 2419 FRONT ZONING _ MY COMMISSION # FF241665 e-0CY13'93-0+53 Fr060.No+..a ryBelice -son+ '��'��nei.•� EXPIRES June 18, 2019 ,] Revised 07/15/ (aEttl3flPril 53 Fh�ridaholasrY5ervPce.C4n+ . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS