HomeMy WebLinkAboutUntitledALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
D,ite: ( Permit Number:
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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 x Residential _
PERMIT APPLICATION FOR: Plumbing
PROPOSED INMIK.W
Address: 8750 S Ocean Drive Unit 433
Legal Description: Island Dunes Condominium A Unit 433 AKA Admiral Condominium
Property Tax ID #: 3535-601-0015-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Like for Like Water Heater Change out 40 gallon electric water heater 4500w elements
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orme under is perms — check a appy:
Additional work toMiGasTank
HVAC ❑Gas Piping In Shutters F]Windows/Doors
Electric PlPlumbing Sprinklers FIGenerator Roof
Roof
pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 500.00 Utilities: Lr�Jj Sewer E Septic Building Height:
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Name Michael Avery Name: Joseph Brownlow
Address: 8750 S Ocean Drive Unit 433 Company: Premier Plumbing & Air LLC
City: Jensen Beach State:FL Address: 108 NE Dixie Hwy
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No. 718-427-4872 Zip Code: 34994 Fax: 772-692-1094
E-Mail: Phone No. 772-692-2500
Fill in fee simple Title Holder on next page ( if different E-Mail: preplbgac@gmail.com
from the Owner listed above) State or County License: 25618
-
—
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: 4Not Applicable MORTGAGE COMPANY: Not Applicable
N am e: Mie Avery N a me: -eon Brownlow
Address: 8750 s Dow Drive um1,33 Address: 8750 S ocean Drive unrc433
City: State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: ENot Applicable
Name:
Name:
Address: 108 NE Dixie Hwy
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 inspection. If you intend to obtain financing, consult wit ender or an attorney before
commenci wqyk15i`NIrecording your Notice of Commencement.
Sign re o Owner/ Lessee on actor as Agent for Owner
SigAture of Contractor/License Holder
STATE OFSTATE
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OUNTY OFORI�
The f r oing ins m t s cknowledg efore meThe
this day of 20 by
rgo,ng inte a a nowledge fore me
this day of 20 y
Nam of person king statement
Na a of person aking statement
Personally Known OR Produced Identification
Personally Known VOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signa a Ff IF169PPM(Signature
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t`% W COMMISSION
Comm EXPIRES July 31, 20(*al)
Commission �•° MY COMMISSION V
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17