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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �< C� Date: Z Permit Num RECE'VEff"' R&RC .�_ EMO Building Permit ApplicationMAY 01 2018 jPlanning and Development Services Building and Code Regulation Division Permitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Ounty, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial PERMIT APPLICATION FOR: Plumbing n PRO;;POSEnD, (MPRO,,V3EMEN,TLOC_ATION,fr _.._.�::,.,��,.. r'`...L._r,c aa�., _. ,,.;, �- ,.,.•�_. ,"- ���.��.:`. ��.;_,. " �: .u Address: CX AQ naos, Legal Description: BQ,I(1M0n\I�i ay-ryS No L4 RIK . 14 Lct )w Property Tax ID#: I�-I��- ��I ' [�I1 " �L»' L� Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 5' f DETAILED DESCRIPTION OF WORK ...,._..x �...:: ..,:..`.x. i,..,.., .; ,. .,, ..,,.t. ,.,:i .�,s+..a� rw ..,.at,z.. ..4..o-' n.,_Y•.r. 2t, .-r. �`,< ✓t�+e,Nx�k ',. ,�' 2 '•ti ii At..2&� fl r\AP_ -F row '20�-CP—+ fiv hoUSe. . HOV"C_ o U ne—r hoC_'�1L� r'q U-f tt Cid W -2r. .' n c CONSTRUCTION °INFORAT,ION Mu . << Additional work toa er orme under this permit-check al x apply. pb HVAC 11 Gas Tank []Gas Piping L_J Shutters a Windows/Doors Electric a_Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ �jl�� . Utilities: ___.Sewer o Septic Building Height: 9Y {.r§r OWNER/LESSEE% k r� 4' � r ti SCOC TR, a. v Name D C�Y'Q,'S 10(x` , 1'`'1� Name: 2- Address: ILPSE .Address: ILPSE Company: pr1-�2M;f1 �t(eWS_�l�llnb. City: N(�Y+-th IM Q,I'YZI State: Fl, Address: !Z9 LkS_t Jtt,4-PaV K. L0LnP_ Zip Code: ��' nq Fax: City: F--f-. P i C_Ycc State: Phone No. X2'1 - Q(��� Zip Code: 3gGg5- Fax: E-Mail: Phone No. �1'I Z 31D - 2L1 L.0 L Fill in fee simple Title Holder on next page(if different E-Mail: 1( , from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLE M, CONSTR ",CTION LIEN LAR r" I"NFO'RMATION a` ,� � �d� w, r �� Y< x Pte; -+ DESIGNER/ENGINEER: OL Not Applicable MORTGAGE COMPANY: N Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ANot Applicable Name: Name: Address: 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. 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 recordingyour Notice of Commencement. Signature of n /Less a/Contractor as Agent for Owner Signature of Cont&94iceKie Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Si- COUNTY OF 5�1:. L..Iti.C�:C The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2_ day of &-i0_" _, 20A by this Z^Q day of MON ,20A by 9fiD,�Qsnr� tr1 Yl('? U1 JQ �Y1 1hn{�i'1�2 Name of person making statement Name of person making statement Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced i (Signature of N ary Public-Stall Al o r bHeLRat-e-af-l=lorisla ) �t�Y Notary Public State.of FIOA� Commission No. �1 �2 lQ . ' (Stfttl�le 7atlana Perdomo1nat!6ure mission No. -►O2�(gLPb .►ta. MS �'< My cc MIS GG 02A980 y9 yPubll SState or Fl�rl a +or ark Explrea 0612512020 Angle Tanana Per l ExpLO mlaslon GG 02490 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Dear GUSTAVO SOUZA Thank you for your payment to Fort Pierce Utilities Authority. Your payment has been successfully processed and your account has been updated. You will continue to receive an email each time a bill is ready for your review.This is an easy way to access, review ant If you haven't already gone paperless, please consider helping the environment, reducing your clutter and supporting opting to move to paperless billing in your next billing cycle.You will always have the option to print your bill directly i need it for your records. To go paperless, log on to your account at https.//www.invoicecloud,com,/fortoierceutilitiesauthority and select paper Profile.Then check the Yes, I want to go Paperless box and press update. If you have any questions regarding your account, please email us at cst?fpu@:corn and include your account number, on the account. Thank you for being a valued Fort Pierce Utilities Authority customer. Please Note:To ensure delivery of account related email notifications,please add no_repy@inyoicecloud;net to your s( Below are the details you entered for this transaction: -Account Number: 10007548-253538 Customer Name: GUSTAVO SOUZA Address: 4203 MATANZAS AVE City: FORT PIERCE State: FL Phone Number: 9549227266 Email Address: SOUZA142000@YAHOO.COM Payment Amount: 350.00 Certain email accounts block messages that you intend to receive.To make sure that you continu Cloud add no-reply @ invoicecloud_net to your address book.©2010.2017,Invoice Clc From: Benjamin Jimenez Sent: Friday, May 4, 201810:20 AM To: lacey@benjamindrewsplumbing.com Subject: FW: Fort Pierce Utilities Authority Invoice#INV2018418151259316Payment Confirmation Thank You, Benjamin Jimenez Benjamin Drew's Plumbing& Drain Services Inc. 15965 Westpark Lane Fort Pierce,.Florida.34945 Phone#772-877-2962 ..................... From:ivone oliveira Sent:Friday, May 4, 2018 12:22 AM To: Benjamin Jimenez Subject: Fw: Fort Pierce Utilities Authority Invoice#INV2018418151259316Payment Confirmation proof of payment for the meter and water account. From:Gustavo Souza<souza142000@yahoo_com> .................... Sent:Thursday, May 3,2018 4:02 PM To: None Oliveira Subject: Fw: Fort Pierce Utilities Authority Invoice#INV2018418151259316 Payment Confirmation -----Forwarded Message----- From: Fort Pierce Utilities Authority <no-r.QplyQinvoicpctgpd:rlgt> To: "SOUZA1420000YAHOO:COM" <SOUZA142Q00@YAHOO,C0M> Sent:Wednesday,April 18, 2018, 4:16:15 PM EDT Subject: Fort Pierce Utilities Authority Invoice# INV2018418151259316 Payment Confirmation i•` FORT (PIERCE UTILITIES AUTHORITY