HomeMy WebLinkAboutBuilding Permit Application APR-15-2018 19:59 FROM:ACE PLUMBING 7725678494 TO:17724621578 P. 1/
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: Nf���/� Permit Number:
RECEIVED
Building Permit Application �,p 16 Z718
Planning and Development Services ii
Building and Code Regulation Division i�ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line W a k r
PROPOSED IMPROVEMENT LOCATION:
Address: 7807 North Blvd, Fort Pierce, FI 34951
Legal Description: Lakewood Park-Unit 7-Block 86 Lot 20 (MAP 13/02N) (OR 3683-6)
Property Tax ID#: 1301-607-0377.000-3 Lot No, 20
Site Plan Name; Block No. 7
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new 40 gallon electric hot water heater
CONSTRUCTION INFORMATION:
Additional work oe performed under t is permit—c ec a appy:
❑HVAC 11 Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 21 Plumbing Sprinklers Q Generator Ll goof Roof Pltch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: S 975.00 Utilities: Sewer []Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dennls & Susan Rupert Name: Oaniel Washburn
Address:2032 SW Plainfield Dr Company: Ace Plumbing, Inc.
City; Vero Beach State: FF� Address: 665 4th Place
Zip Code: 32968 Fax: City: Vero Beach State: FI
Phone No. 1-540-220-4397 Zip Code: 32962 Fax: 772-567-8494
E-Mail: Phone No. 772-562-3760
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 SZ500 or more,a RECORQ6D Notice of Commencement 15 required.
APR-15-2018 19:59 FROM:ACE PLUMBING _ 7725678494 TO:17724621578 P.2/3
SUPPLI=M'ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: n�nnl.as...^auo-n Name:oadww „
Address:1-7 N—D-.Forl P*T.,FI 514%1 Address: 2032 3w PIa1r&W Dr
City: V.Momch State: City: Vero Mach State:
Zip: Phone Zip; Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: TNot Applicable
Name: Name:
Address:0654th Plan. 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. Ptease 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-residentlal 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
-b'efore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cornmencing work or recording our Notice of Commencement.
Signature o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLQRIDQQ STATE OF FLQRI A
COUNTY OF \ C C� . }P COUNTY OF ` RC1 tly s
The orgoing Instr ment was acknowied before me The f rgoing inst ment was acknowledge before me
this day of 24� by this�Q day of,��_ 20�by
Name of p s n making statement Name of p r on making statement
Personally Known OR Produced identification Personally Known _OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign ture of Notary Public-Stat (Sig ature of Notary Public-State
APRIL pfNEE CARIv i.� -'^ APRI,RENEECARINI
Commission No. / ; al�loleryPublic.Stile ofFloo aC mission No- eal�«aryPubrc-SUseofrior a
-•i COM"Sklm I GG 121631 '• Commission#GG 121631
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REVIEWS FRONT ZONING SUPERVISORPLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17