HomeMy WebLinkAboutPermit - 338 Pandora Ave - signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- a-- - _
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: 338 Pandora Ave
Legal Description: DEL-AIRE ESTATES BLK 4 LOT 20 (OR 3229-1706)
Property Tax ID #: 1312-701-0077-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Correct county code enforcement on plumbing violations:
- Install tub trap
- Replace pvc wicpvc
Lot No.
Block No_
fditional work to be rtormed under this permit — crtecK all that apply:
11HVAC M Gas Tank F]Gas Piping Shutters !� Windows/Doors
11 Electric 10 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 500-00
S Ft. of FirstFloor:Floor:
Utilities:[] Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Investment Ventures Inc_
Name: Reed Sudderth
Address: 14930 NW 10th PI
Company: CRS Plumbing
City: Miami State. FL
Zip Code: 33168 Fax:
Phone No. 772-828-1080
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: crsplumbing@bellsouth.net
State or County License: CFC1426853
If value of construction is $2500 or more, a RECORML) notice of Lnmmencemeni is requirea.
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 TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 1 will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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.
s
_ Sign ure of Owner/ Lessee/Agent JJ Signa a of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF st --
The for oing instrument was acknowledged before me
this 1 day of APIA 20 % by
Edward D. ,tendon
(Name of person acknowledging)
(Sig ature of Notary Publi ate of Florida }
Personally Known
Type of Identification P accY4� ; EDWARD D JENDON
€ MY COMMISSION #FF124587
Commission No.+.`E °
. F_XI-(NLZ1§ May 19, 2018
(Ai)7J 399-0t 53 FloridallotaryService.com
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF StLucle
The forgoing instrument was acknowledged before me
this _[{ day of Q EL, , 20 18 by
Edward D. Jendon
(Name of person acknowledging }
(Si nature of Notary Publ� - ate of Florida j
Personally Known re �denticaii4��
Type of Identification f!4�Bdli ,; : F[D JE
0 14
MY #F 124587
Commission No. A,9XPIl4 19, 2018
�.: y
�4➢7� ��$-t�l§� rFl�fi�s3N�taryService.com
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