HomeMy WebLinkAboutBuilding Permit Application May 23 18 09:49a Stuart Plumbing 7722870195 p,1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5110/2018 Permit Number: r
s ,
ED
Building Permit Application
Planning and Development Services FRECE'V
AY 2 3 2118
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ie County, Permitting
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Res la
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S.OCEAN DRIVE,JENSEN BEACH
Legal Description: HUTCHINSON ISLAND CLUB-A CONDOMINIUM COMPRISING A PART OF SECTION 11
TOWNSHIP 37 RANGE 41
Property Tax ID#: 4511-514-0000-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPAIR COLLAPSED CAST IRON SANITARY LINE UNDER SLAB IN MECHANICAL ROOM
CONSTRUCTION INFORMATION:
r tuna workto e performed un er t rs permit—c ec a appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11Eiectric Plumping Sprinklers Generator 0 Roof u Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 1000 Utilities:ESewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name HUTCHINSON ISLAND CLUB CONDO ASSOCIATION Name: ERNEST DEMPSEY
Address:10410 S.OCEAN DRIVE I Company: STUART PLUMBING
City: JENSEN BEACH State:_ (, Address: 1317 SE DECKER AVE
Zip Code: 34957 Fax: City: STUART State:FL
Phone No. Zip Code: 34994 Fax: 772-287-0195
E-Mail: ! Phone No. 772-287-1131
Fill in fee simple Title Holder on next page(if different E-Mail: KELLY.STUARTPLUMBING@GMAIL.COM
from the Owner listed above) State or County License: CFC 1428218
i
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 23 18 09:49a Stuart Plumbing 7722870195 p 2
SUPPLEMENTAL-CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable i
Name:HuTc—soN is Aim mm CONDO ASSOCIATION Name:ERNEST DEMPSEY s
Address:10-s-DCEm oRNT-iE.-En BEAcx Address: —cs-OCEANDwc I
i City- JENSENom+ State: City: --u— State:
Zip: Phone Zip: Phone.-
FEE
hone.FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: foot Applicable 1.
Name: Name:
Address:1317SE DECKER AVE Address:
i
City: City:
Zip: PFone: 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 fle 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 wide your Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,l 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 exemptfrom 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.
Signatufe of Cwner/Lessee/CorztraCtor as Agent for Owner I Signatu r—e—ofCum r c—in sk H o er
STATE OF FLORIDA STATE OF FLOR
COUNTY OF -Sf. !..t. ; COUNTY OF
The forgoing instrument was acknowledged before me The f-ogoing instrytnent was admowledgecl , 'ore me
this( day of k 1 G� r•�.. 20; by this�} day of Isf v �1� 20�y
Name of person making statement Name of person king statement
Personally Known i--- OR Produced Identification Personally Known R Produced Identification
Type of identification Type of Identification
Produced Produced
(Signature of No ' i £�N� (Si ature dta Public-5 ate of Florida
p FF96925fl
Commission N0. ��' ExMUM.-
STA
fR>�s5e�aln�'2020 I Commission No. N UEL1C
• S1— rw.rww• enc-.n+
STATE OF FLORICA
Cornf�*GG 170418
REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA E
I
RECEIVED
DATE
COMPLETED i
Rev.8/2/17 -