HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s+
Building Permit Application
Planning and Development Services
Building and Code Regulution Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXX Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 325 Pandora Ave
Legal Description: SEE ATTACHED
Property Tax ID #: 1312-702-0001-000-3
Site Plan Name:
Project Name:
Setbacks Front Back.
Right Side: Left Side:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install SO gal electric hot water heater
❑HVAC Ll Gas Tank
11ElectricIZI Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 860.00
rtnis permit—cnecK aii tnat apply:
DGas Piping 11 Shutters
Sprinklers OGenerator
5Ft_ of First Floor: _
lltilities:Sewer 11Septic
aWindows/Doors
L=1 Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Fort Pierce Lodge No 248 Loyal order of Moose
Name: Reed Sudderth
Address: 325 Pandora Ave
Company: CRS Plumbing
City. Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-559-0569
Address: P.d. 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 RECORDED Notice of Commencement is required.
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 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 your Notice of Commencement.
- "--I Jac'�_ -
_ SilidAure of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF st Loci.
The forgoing instrument was acknowledged before me
this _,2Q day of A 20 1 by
Edward D. Jendon
(Name of erson acknowledging )
(Signature of Notary Public- tt e of Florida }
Personally Known
Type of Identification
Commission No.
SIF FL ;
(407) a98-0153
Revised 07/15/2014
/ S
Sign ture of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Si Lude
The forgoing instrument was acknowledged before me
this oho day of A i'_R 20 /g by
Edward D.Jendon
(Name of person acknowledging)
669 -nature of Notary Pub 04te of Florida }
Personally Known
Type of Identifical
MY COMMISSION #FF124587
EXPI9@§) Aay 19, 2018 Commission Na.
788-0133
Identification
MY COMMI gb #FF124587
EXPIRES May 19k, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Legal Description
BEL-AIRE ESTATES -UNIT 02- LOT 1 AND LOT 3 AND 12 34 39 BEG AT SE COR OF SW
1/40F SW 114 RUN N 0 02 03 E 150.21 FT ALG E LI OF SW 1/4 OF SW 114,TH S 45 14 30
W 213.32 FT TO S LI OF SW 114 OF SW 1/4,TH E ALG SD S LI 151.44 FT TO POB AND
THAT PART OF LAKEWOOD PARK -UNIT 12-A- BLK 168 LOTS 8 AND 9 (OR 3578-1589:
3350-1709:2880-1007:3671-2609) (1.35 AC- 59,097 SF)