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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Service Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Plumbing PROPOSED o v s i Address - Legal . - Property Tax ID#: �—l��Y 4 A al A Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAIUD DESCRIPTION OF WORK: t�k 00 'K�YD'w 0'_ 140 Lot No,--6— Nock o.6--Block No. CONSTRUCTION fNFO<RMATI®N Additional work to bp nertormed - un er s perm -it— check a t at app y HVAC Gas Tank ❑Gas PipingShutters Windows/Doors _ Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $LAJ_' Utilitles: , Sewer D Septic Building Height: fl1NNEiR/4E55EE: CONTRACTOR'; Name Name: CRAIG MOBLEY Address: corrfpany: SOUTHERN PLUMBING, INC City: )Q,t'lla StateM Zip Code: Fax: Phone No. Address: 40159 43RD AVENUE City: VERO BEACH State: Pi_ Zip Code: 32960 Fax: 772-978-9843 Phone No, 772-664-6980 E -Mail: Fill in fee simple from the Owner Title Holder on next page ( if different listed above) E -Mail: SOUTHERNPLUMBING@AOL.COM State or County License: RFOO67100 it value of construction !S,%2500 or more, a RECORDED Notice of Commencement is required. 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 AssocIatlon 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 wilt, 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 addltions, accessory structures, swimming pools, fences, walls, slgns, 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 improviliv is to your property. A Notice of Commencement must b recorded and posted on the jobsite before trst inspection. If you intend to obtain financing, consul ith lender or an attorney before comma work or recording vour Notice of Commencement. 4 472 1 _ si f Own / Lessee/Agent STATE OF FLORIDA COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me this=day of IVI aY 20 IB -by Signatui'"of Contactor//License Halder STATE OF FLORIDA COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me this—l" day of 20 l$ by ��aa �loble� C��a P�lob�e�c (N m� of p son acknowled ing) (Namegof p on acknowledging) : - Sgnatu of Notar Ic- ate of Florida) S gnature o u lic�State of Florida ) P rsonaily Known OR Produced Identification P rsonally Known OR Produced Identification Type of Identifcatir17e%J _ Type of Identification Produced Notary Puolic Slate of Florida pgt Kftiatitt K i {� 40 hr Notary P'blic ; 0 FlQraga Commission No. Cornrtu'i5 t7i25s Commission No, tin Kylie ?pl,a Expifes0112112022 M o My Commission GG 177256 il� Expires01129r2o22 Revised 07/15/2014 s REVIEWS FRONT R��`��a�1S�T�U`��#C)�N�IwYI��,��C��11%IATf�N SUPERVISOR PLANS VEGETATION DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name. REVIEW Name: REVIEW Address: REVIEW Address: City: State: City: State: Zip: Phone: Zip: Phone: COMPLETE FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable). Name: Name: Address: _ Address: City: City: Zip: Phone: Zip: Phone: 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 AssocIatlon 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 wilt, 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 addltions, accessory structures, swimming pools, fences, walls, slgns, 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 improviliv is to your property. A Notice of Commencement must b recorded and posted on the jobsite before trst inspection. If you intend to obtain financing, consul ith lender or an attorney before comma work or recording vour Notice of Commencement. 4 472 1 _ si f Own / Lessee/Agent STATE OF FLORIDA COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me this=day of IVI aY 20 IB -by Signatui'"of Contactor//License Halder STATE OF FLORIDA COUNTY OF INDIAN RIVER The forgoing instrument was acknowledged before me this—l" day of 20 l$ by ��aa �loble� C��a P�lob�e�c (N m� of p son acknowled ing) (Namegof p on acknowledging) : - Sgnatu of Notar Ic- ate of Florida) S gnature o u lic�State of Florida ) P rsonaily Known OR Produced Identification P rsonally Known OR Produced Identification Type of Identifcatir17e%J _ Type of Identification Produced Notary Puolic Slate of Florida pgt Kftiatitt K i {� 40 hr Notary P'blic ; 0 FlQraga Commission No. Cornrtu'i5 t7i25s Commission No, tin Kylie ?pl,a Expifes0112112022 M o My Commission GG 177256 il� Expires01129r2o22 Revised 07/15/2014 s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS