HomeMy WebLinkAbout6001 Adonidia Place St Lucie CountyALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November B, 2017 Permit Number:
staff 0011111=
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: Plumbing
PROPOSED IMPROVEMENT LOCATION: acwag
Address: 6001 Adonidia Place
Legal Description: Palm Graoves S/D Blk L Lot 34
Property Tax ID #: 3410503-0372-000-0
Site Plan Name: Alltop
Project Name: Alltop
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Replace 40 gal elec water heater
Right Side: Left Side:
Lot No. 34
Block No. L
'+uu i uunm wui n w ue ci iunneu unuei tnu Pertnn— r.necrc du apply:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
U Electric 21 Plumbing []Sprinklers 1:1U Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 795 Utilities:llSewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sharon Alltop
Name: Anthony Agrusa
Address:6001 Adonidia Place
Company: North County Plumbing
City: Fort Pierce State: FI
Zip Code: 34982 Fax:
Phone No.772-359-4416
Address: 2647 President Sarack Obama Highway
City: Riviera Beach State: FI
Zip Code: 33404-4119 Fax: 561-625-8717
Phone No. 561-625-9414
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: Northcountyplumbing@hotmall.com
State or County License: CFCO26530
it varve or wnsirucuon is ;,4ouu or more, a newnueu Nonce of commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Sharon Nitop
MORTGAGE COMPANY: _ Not Applicable
N a me: Anthony A9rusa
Address:6001 Adonldle Piece
Address: 6001 Adonidle Place
City: Fort Pierce State:
Zip: Phone
City: Riviera Beech State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Add ress• 2647 President balacx Obamam Highway
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 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 inspectio u intend to obtain financing, consult with lender or an attorney before
commencing work oc o na vour Notice of Commencement.
as Agent for Owner
STATE OF F
COUNTY OF T , M (1 , _(�M
om.( ��
The fq&cing instr m R was clrnowledge before me
6Mthi day of � 20 � by
Oli Ag irwso'
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
of Notary
Commission No.
MELANIE JOHNSON
Notary fMo- State of Florida
Commission M FF 197676
My Comm. Expires Apr 20, 2019
REVIEWS I FRONT I ZONING
COUNTER REVIEW
I:lXel�l9�e7
I COMPLETED
Rev. 8/2/17
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The fgr�oing instr �q$w,as cc owledged before me
th�ij d day of VG/ 20/% by
�i441ftlll * WO -
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
(Signature of Notary
Commission No.
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
"a IWLANIE JOHNSON
Notary Public - State of Flori
011111 ]tsion M FF 197676
My Comm. Expires Apr 20, 20
60nded through National Notary A,
SEATURTLE I MANGROVE
REVIEW REVIEW