HomeMy WebLinkAboutBuilding Permit Application jALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
ars-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 161 NE Capona Ave., Port St. Lucie, FL 34983
Legal Description: single family home
i
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: James Short
j Setbacks Front Back: Right Side: Left Side:
FETAILED DESCRIPTION OF WORK:
cap off copper water piping in concrete slab. install Rpex water piping run from water supply though attic
and dropped down to fixture
CONSTRUCTION INFORMATION:
Additional work to be e Orme un er t is permit—check all appy:
HVAC Gas TankIn
E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2475.00 Utilities:InSewer Septic Building Height:
-OWNERAESSEE: CONTRACTOR:
NameJames Short Name: Richard Schoenwalder
Address:161 NE Caprona Ave., Company: Sailfish Plumbing, LLC
City: Port St. Lucie State:FL Address: 1511 NE 35th Terrace
Zip Code: 34983 Fax: City: Jensen Beach State:FL
Phone No.772-201-5452 Zip Code: 34957 Fax: 772-232-6062
E-Mail:jshortie@gmail.com Phone No. 772-678-1444
Fill in fee simple Title Holder on next page(if different E-Mail: sailfishplumbing@comcast.net
from the Owner listed above) State or County License: RF11067569
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not 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 recording our Notice of Commencement.
01
41Signature of Owner/Lessee/Contractor as Agent for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ,>�;h/J?
The forgoing instrument was acknowledged before me The for oing instrum was acknowledged before me
this day of 120 by thi$//&day of 20Z by
d
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
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No r� Cathed Weinman
NOTARY PLBLIC
1
STATE OF FLORIDA
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION pit SEA Ex l P9' NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17