HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3726 ST BENEDICTS RD
Legal Description: ST JAMES PARK BLK 10 N 35 FT OF LOT 3 AND S 45 FT OF LOT 4 (OR 3979-2446)
Property Tax ID #: 2434-501-0129-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace existing electric water heater in laundry room
Lot No.4
Block No. 10 N
CONSTRUCTION INFORMATION:
CONTRACTOR:
NameVemeshia L Sanders
Name:
a e
Additional work tor orme under
this permit — check
a
appy:
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-236-7300
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
HVAC
State or County License: CFC1425604
Gas Tank
❑Gas Piping_
Shutters
Windows/Doors
11 Electric 0 Plumbing
Sprinklers
11 Generator
F] Roof
Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $ 700.00
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameVemeshia L Sanders
Name:
Address: 3726 ST BENEDICTS RD
Company: Mr Rooter of the Treasure Coast
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: 534 NW Mercantile PI, Suite 119
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-236-7300
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: lames.mrrooter@gmaii.com
State or County License: CFC1425604
11 value vi wribiructwn is ?LDuu or more, a 11MUKUtu notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name : Vemeshia L Sanders
MORTGAGE COMPANY: _Not Applicable
Na me
Name:
Address: 3726 ST BENEDICTS RD
Address: 3726 ST BENEDICTS RD
City: portSt Lucie State:
Zip: 34986 Phone:
City; Fort Pierce State: FL
Zip: 34982 Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:534 NW Mercantile Pl, Suite 119
City:
Address:
City:
Zip: Phone:
Zip: Phone:
UvvIYCK/ LUIM 1 KAL l UK AFFIUVIT: 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement _
�J / J"f"'O"
Owner Lessee/Contractor as Agent for Owner Signifture of Cont ctor License Holder
STATE OF FLORID 1 , ISTATE OF COUNTY OFOR_�%
COUNTY OF L �
The forgoing instr ment was acknowledged before me
this iZa day of 20J&by
ths''6.--
Name of person m king statement
Personally Known OR Produced Identification
Type of Identification
Produced
0
of Notary Public -
Commission No.F7
1t1tiSTEM L
The forgoing instrument was acknowledged before me
this Z6( day ofGi�,r� 20(a by
z
Name of person making statement
Personally Known si OR Produced Identification
Type of Identification
Produced
Commission #t, FF 97046bigrfture of NotarJ.Wblic-
Comm. Expires Mar 10, 2020
n No.
i ) Notary Public - State of
Commission #F, FF 97
SUP Pomm. Expires Mar t
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED