HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTED 1
Date: �. Permit Number:
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Building Permit Application JAN 18 2018
Planning and Development Services
Building and Code Regulation Division
2300 Irrpinia Avenue,Fort Pierce FL 34982
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
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Address: 1800 N 47TH ST, FT PIERCE, FL 34950
Legal Description: HARMONY HEIGHTS BILK PLOT 22 AND LOT 23-LESS S 10 FT-(0.23 AC) (OR 1898-69)
.Property Tax ID#, 24,06-602-0260-000-3 Lot No. 92 WS
Site Plan Name: Block No. P
project Name: NOSE JEAN WATER HEATER
Setbacks Front Sack: Right Side: Left.Side:
40 GALLON ELECTRIC WATER HEATER IN BACK ROOM OF HOUSE
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WENS
Add
I lona wor o Offtorme under this permit—check all appy: v
EJHVAC Gas Tank ❑Gas Piping _Shutters I]Windows/Doors
U Electric Plumbing Sprinklers 12Generator Roof Roof pitch
Total Sq_Ft of Construction_ S .Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities:llSewer[:]5eptic Building Height:
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-Name NOSE JEAN Name: RONALD E 1NEE10
Address: 1800 N 47TH ST Company; MEEKS PLUMBING INC
City: FT PIERCE State: FL Address: 5555 US HWY 1,SUITE 1
Zip Code: 34A5n_... _._ Fax: City: VERO BEACH State: 5L
Phone No. Zip Code: 32967 Fax:_772-569-7647
E-Mail: Phone No. 772.569-2285
Fill in fee simple Title Holder on next page(if different E-Mail: iNF(0(2MEEK8PLUMBING.C:0M
from the Owner listed above) State or County License: CFCO24535
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
5000/i;000 in DNIgI4na SIISa4 LV9L6959LL XVa Nd TT:f 8T09/9T/T0
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DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable M
Name: Name:
Address:_ Address: _
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TME HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:_. _ Name:.
Address,• 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 nb repreenation 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 Nome 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
corriMiencing work or recording our Notice of Commence nt.
Signature of Owner/Lessee) ontractor as Agent for Owner Signature of Contractor/ icense Molder
STATE OF FLORIDA STATE Cl FLORIDA
COUNTY OF INDIA COUNTY Or
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
' this 19 day of_JANUARY 20i8 by this 18 day of JANUARY 20 la by
RONALD E MEEKS RONALD E MEEKS
Name of pe!joy making statement Name of p rson making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatioii Type of Identificati n
Produced A Produced
(Sign re of ottj"'
ate of Florida} (Sig ture of otar: Pub i - tate of Florida)
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REVIEWS FRONT" ZONING SUPERVISOR PLANS VELE ATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
5000/5000 fwiamna max L69L69S9LL YVJ Aid PI:b 91OZ/81/10