HomeMy WebLinkAboutIMG_0001AtL APPLICABLE !NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort pierce FL 34982
Phone: (7721 462-7553 Fax: (772) 462-1578 Commercial Residential x
Address: 161 NE Caprona Ave., port St.Lucie, FL 34993
Legal Descripl;6n' single family home
Property Tax lD #:
Site Plan Name:
Lot No.
Block No.
Project Name: James Short
Setbacks Front Right Side: Lefr Side:
on spe apply:
E
E
HVAC Gas Tank
Plumbing
lleas eiping Shutters
Generator
l_l *,noo*s/Doors
Electric 4 Sprinklers tr tr Roof Roof pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities: nr"*"r Et"Cost of Construction: $ 700.00
PERM IT APPLICATION FOR:To Select from dropbox, click arrow at the end of line
PROPOSED I MPROVEM ENT LOCATION :
DETAILED DESCRIPTION OF WORK:
replace 50 gallon electric water heater
CONSTRUCTION I N FORMATION :
lfvalueofconstructionisS2500ormore,aREcoRDEDtrtoticeo@
OWNER/LESSEE:CONTRACTOR:
;lsmsJames Short
Address:161 NE Capona Ave.
City: Port St. Lucie state:F]_
ZiP Code: 34983
phone Ns.772-201-5452
5-1y1, ; 1.
jshortie@gma il. com
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
Name: Richard Schoenwalder
Company: Sailfish Plumbing, LLC
Address: 151 1 NE 35th Terrace
City: Jensen Beach
ZiP Code: 34957 p1y.7722326062
phone y16. 77 2-67 8-1 444
E-Mai I : sailfishplumbing@comcast. net
State or County License: RF1 1067569
MORTGAGE COMpANy: _ Not Applicabh
Zip: --- pho*,
rEE .IrvrrLE I I I LE HULDER: _ Not ApplicableName:
Zip: ------Eo*,
BONDINGCOMPANY: G
owNER/ coNrRAcrol +I certify that no work or instailation rr.r .or[.L,i.ed prior to t'h" irru.*l'ot a permit.
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!1 con-sideration.of the granting of this requestedin accordance with ihe Spp..ouEa pri"i. tri-,= ii";,;l"fi1i1Jro3"hf:XJg[:i |}:'JJJ]i,jiiiJfj1""';i;:""",, the work
The following building permit applications are exempt from undergoing a fuI concurrency review: room additions,accessory structures' swimming pools, fences, walls, signs, *r";;;;;;;nd accessory ,r", i" """tner non-residentiar usewARNlNq To owNER: Your failure to Record a Notice of commencement may resurt in your paying twice for
{!FJi"'i,ffi,t1iflJr".11,1',ilFit&i,}"",liaa;iid;;e;"il1i'i',u,t be i;;;-d;i *o postdd bn-the;ousitens, coniuit wiiil;;;; il;;ii;;.,;i t!;#;,
/lessee/@
STATE OF FTORIDAeiiiirT'oiW
v-t\-
Name of person maki_ rrdrne or person/aking statement
Personally Kngwn L.' oR produced ldentification
Ir,ry"qnstment wa s a ckn owr"rtff
;f *'"
(Signature of Notary public- Strt" of ftoria, )
STATE OF FTORIDA ,. / '
coUNTy or -'rzzlfi n
The forgging ins
this,/fr4 da,y of
was acknowledged before mezo/3 by
ture of Notary publrtlGte ot
['$#ftFHr:,ft,^Notary Public - State ol
VEGETATION
REVIEW
Rev.8/2/77
SUPPLEMENTAL CONSTRUCTION LIEI,I LAM
_ ..Name of person mrkin;,G6m;f---t
Personally Known A OR produced ldentification