HomeMy WebLinkAboutBuilding Permit Application DEC-6-2017 01:35 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.1/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � — Permit Number:
= Building Permit Application DEC 0 6 2057
Planning and Dcvclopmcnt Scrviccs G
Building and Code Regulation Division Lucie iT unty,
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Count;, FL
Phone: (772)462-1553 Fax: (772)462-1.578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: tic
Address: 3100 N Hwy A1A Unit 604, Fort Piece, FI 34949
Legal Description: Sands on the Ocean-Section 1-Unit 604 (OR 3578.2539)
Property Tax ID#: 1425-606.0020-000.4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Slde:
DETAILED DESCRIPTION OF WORK;
Replace Electric hot water heater 28/30 gallon Lowboy
CONSTRUCTION INFORMATION:
Additional work o brformed under this perms —check all appy:
❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
OElectric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction; S . Ft. of First Floor:
Cost of Construction: S 975.00 Utilities:tSewer Septic Building Height:,,_
OWNER/LESSEE: CONTRACTOR:
Name Timothy&Julie B.White Name: Daniel Washburn
Address..3100 N Hwy Al A Unit 604 Company; Ace Plumbing, Inc.
City: Fort Piece State:F! Address: 665 4th Place
Zip Code: 34949 Fax: City: Vero Beach State:FI
Phone No.1-615.268-0937 Zip Code: 32962 Fax: 772-567-8494
E-Mail; Phone No. 772.562.3780
Fill in fee simple Title Holder on next page{if different E-Mail: aco.plumbing@comcast.not
from the owner listed above) 5tate or County License: CFC032636
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
DEC-6-2017 01:36 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.2/3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:'y -e.wniu, Name:Danielwaenbum
Address:3100 N Hwy AIA Una 604,Fort Place,F134040 Address: 3100 N Hwy AIA unn 6U4
City: FoK Pboe State: City: --Ch State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Ad dress:665401 Reim Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIOVIT: 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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may retrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions whicA may apply.
In consideration of the granting of this requested permit,1 do hereby agree that I will,In all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.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,
11�, ),�,L 1'.., . L.'".. 0/, 1 LA=",
Signature of Owner/Lessee/Contractor as Agent for Owner Si nature of Contractor/License Holder
Ab
STATE OF FLOR,�IDaA �\� COUNTY OFSTATE OF �RID�► l ,` �
COUNTY OF ``C,'.Cai� �
The forgoing instr ent was acknowledged before me The f rgoing ins mens was acknowledged before me
this . day of � �,,20,\—)by this day of z0 by
Name of person making statement Name of person making statement
Personally Known I OR Produced Identification Personally Known)(OR Produced identification
Type of Identification Type of Identification
Produced Produced
(Sign)ture of Notary Public-S te (Slgnatu a of Notary Public- idtolary"Ic-Sate ofFlorda
APRIL RENEE CA;N ;• •t Commission r GG 121631
• NC Public-5td1e of c 0'ed , c�ab1 tX0tf0s 1uQ0,2021
ea ommission No. - •f i ,�,,o,�,�,�,�
Commission NO. mmicsion.GG 12'63'
My Comm.ExPMJul 2C2C2•
...., eon4rdtnrougr��n:r•t4et�rls�l:,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17