HomeMy WebLinkAboutST LUCIE COUNTY PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: __ _ Permit Number:
1 �
� I -
Building Permit application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft .4382
Phone; (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 73LUINQ O&C-1 n Il hW ii C VII
Legal Description: LJLJr_eUlt» n P;410 V —
Commercial Residential
Property Tax ID #: I — Q _ �QQ f
Lot No.
Site Plan Name:
Project Name: Flock No.
Setbacks Front , Back; Right Side: . Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
itlana wor to e er orme un er t is permit — c ec a Jt as j appy:
HVAC f]GasTank E]Gas Piping I ]Shutters Wind
owsfDoars
OElectric Z Plumbing Sprinklers Generator Roof
Total Sq. Ft of Cons'tructfon:
Cost of Construction: $
OWNER/LESSEE:
SFt. of First Floor: _
utilities: Sewer Septic
Name�
Address;
City:ft State: �L
Zip Code: Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next ,Page (if different
from the Owner listed above)
CONTRACTOR:
Building Height:
Name: CRAIG MOBLEY
Company: SOUTHERN PLUMBING, INC
Address: 4969 43RD AVENUE
City: VERO BEACH State: EL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
E -Mail: SOUTHERN PLUMBING@AOL.COM
State or County License: RF0067100
If value of construction is $25017 or more, a RECORDED Notice of Commencement is required.
DESIGN[
Name: _
Address:
City:
Zip;
GINEER: x Not Applicable
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name;
Address:
City:
Zip. Phone;
I certify that no work or installation has commenced prior to the issuance of a permit
x Not Applicable
State:
x Not Applicable
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, byiaws 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.
IW1 1 n consideration of the granting of this requested permit I do hereby agree that I will, in all respects, perform the work
e with a 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 th r t inspection. If you intend to obtain financing, cons with lender or an attorney before
Comme that
or record)n our Notice of Commencement.
_
Sigoature of weer/ Lessee/Agent
STATE OF FLORIDA /f
COUNTY OF irluAN Riven.
The forgoing instr ment was acknowledged before me
this � day of A r 1 , 20 I.Lby
(Na nye of per n acknowledg ng)
re
Florida )
r 5
Sig tore ntracto rLicense Halder
STATE OF FLORID
COUNT f OF INDIAN R
The forgoing instrument was acknowledged before me
this= day of D r I l _ 20 I �5 by
r at Q v�
ofipe s 9acknowledgiIng )
of Notary PuIc- ate of Florida )
Personally Known -- V OR Produced Identification Person0Known _
Type of identification Produced Type of Identificatio
Commission No,
Revised 07/15/20H ! .
REVIEWS FRONT
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DATE
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INITIALS
Notary X i ;rof Fkmd+a
�I Commission No.
Kristin tr fl
My Commission GG 177258
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ZONING SUPERVISOR IPLANS
REVIEW i REVIEW REVIEW
OR Produced Identification
or plh, Notary PuWic1W Florida
-Knatin KyJ0
+�if My Commission GG 177258
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VEGETATION
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SEA TURTLE
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MANGROVE
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