HomeMy WebLinkAboutPermit - 6116 Spring Lake TerALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CC�C..t]NTY °'
Permit Number:
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 XXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6116 Spring Lake Ter
Legal Description: PORTOFINO SNORES -PHASE THREE- (PB 43-40) LOT 376 (OR 3646-1049)
Property Tax iD #: 1312-503-0149-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 40 gal elec hwh
Lot No._
Block No.
Mititionai worK to pe errormea
LJHVAC F1 Gas Tank
unaer tnis permit— cneCK an tnat apply:
F]Gas Piping ❑Shutters
Windows/Doors
Name. Reed Sudderth
Company: CRS Plumbing
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 561-306-1023
Address: P_O_ Box 12755
11 Electric D Plumbing
Sprinklers
L =1 Generator
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 486-00
S.Ft. of First Floor: _
Utilities: 1 J Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Marvin Hobson
Address: 6116 Spring Lake Ter
Name. Reed Sudderth
Company: CRS Plumbing
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 561-306-1023
Address: P_O_ Box 12755
City: Fort Pierce State. FL
Zip Code: 34979 Fax. 772-460-7774
Phone No. 772-466-7763
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail- Cmplumbing@bellsouth.net
State or County License: CFC1426853
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: ` Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signafdre of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
this _ZL day of(:; [ 20 Mby
Edward D. Jendon
(Name of person acknowledging)
i
(Signature of Notary Public- t e of Florida )
Personally Known ✓
Type of Identification Pi
Commission No.
Revised 07/15/2014
of
STATE OF FLORIDA
COUNTY OF St Lune
The forgoing instrument was acknowledged before me
this 26 day of bq=- , 20 !7 by
Edward D. Jendon
(Name of person ackn ledging)
(Sknature of Notary Public- t e of Florida )
Personally Known V_ OR Produced Identification
Type of Identification Pr dta:,,_
MY CWI SION #FF124587 Commission No.
EXPIRE,§May 19, 2018
3WOM
MY C"ISION #FF124587
EXPIRES May 19, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS