HomeMy WebLinkAboutBuilding Permit Application MAR-21-2018 02: 18 FROM:ACE PLUMBING 7725678494 70: 17724621578 P. 1/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
_ RECEIVED -
•
Building Permit Applicati n MAR 2 2 X018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division ---
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax; (772)462-7.578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 6203 Arlington Way, Fort Pierce, FI
Legal Description; Portofino Shores (PB43-6) Lot 172 (OR 3544-60B: 3582-2540)
Property rax 10#,, 1312-501-0107.000-9 Lot No.172
Site Plan Name: Block No.
Project Name: Debra Wolfe '
Setbacks Front Back: Right Side. Left Side
DETAILED DESCRIPTION OF WORK:
-i
Furnish and install 50 gallon electric hot water heater.
CONSTRUCTION INFORMATION:
Additional work to be e orme un er t is permit--c-Keck a apply:
❑HVAC U Gas Tank []Gas Piping _Shutters Windows/Doors
Electric 21 Plumbing 11 Sprinklers El Generator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt, of First Floor:
Cost of Construction:S 975.00 utllitles:]Sewer OSeptic Building Height:
OWNER/LESSEE: ONTRACTOR:
Name Debra Wolfe Name: Daniel Washburn
Address;432 Pleasant Valley Dr Company: Ace Plumbing, Inc.
City: Conshochocken State:P� Address: 665 4th Place
Zip Code, 19428 Fax City: Vero Beach State:Fl
Phone No. 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: ace.plumbing@comcast.net
from the Owner listed above) State or County License: 20940
If value of construction Is$2500 or more,a RECORDED Notice of Cgmmencement Is required.
MAR-21-2018 02:18 FROM:ACE PLUMBING 7725678494 70: 17724621578 P.2/3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Debra Wolfe Name:Denlnlweehbum
Address: 6203 Arlington Way,Fort P,4roe,FI Address: 432 Pleeaanl Valley Or
City: Conehochockon State: City: Vero Bee Ch Stat;
Zip: Phone zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add re ss:68541n Placa 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 i5 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 our Notice of Commencement.
r _
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Si nature of Owner/lessee/Contractor as Agent for Owner i ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF \2C��2, 1 � COUNTY OF i��Q11�c',�
Theorgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this ,.� day of �'�_�\C_�_cC�Sh, 2Q by this day of 2S�Z4c 20A by
Name of person making statement Name of p on making statement
Personally KnownOR Produced Id n 'fi ti n Personally Known A OR Produced Identification
Type of identification ; ,.,� Type of Identification
Produced •. at Produced
(Signature of Notary Public- tate of Florida (Signa ure of Notary Public-State of Florida) q
IL
Cam mission NU.C � (S m Gommi55ion No. (Seal)
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T .avS2.A
REVIEWS FRONT ZONING 8U4R SOR :PLANS VEGETATION SEA TURTLE i RbV
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17