HomeMy WebLinkAboutIMG_0001ALt APPTICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date: 6/6/2018 Permit Number
Building Permit Application
Plonning and Development Services
Building ond Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION :
Address: 3805 Westchester Court
Legal Description:single family
Property Tax lD #:
Site Plan Name:
LotNo.-
Block No.
Project Name:
Setbacks Front Back: _ Right Side: _____________ Left Side
DETAILED DESCRIPTION OF WORK:
repipe existing hot and cold water piping
al wor rme er this permit -
Irro.Gas Tank
Plumbing
l-leas pipine
f-lsprintters
Shutters E*,noo*s/Doors
!rtectric a I e"n"r.to,.Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2800'00 Building Height:
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
NsmsErik Solfuin
466 ps5r. 3805 Westchester Court
City:Port St. Lucie State:Fl
ZiP Code: 34952 Fax:
phone 11s. 51 0-21 3-3421
E-Mail:
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 35thTerrace
City: Jensen Beach state: FL
ZiP Code: 34957 p6*. 772-232-6062
phone 11s. 77 2-67 8-1 444
E-Mail: sailfishplumbing@comcast.net
State or County License: RF1 1067569
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
Sq. Ft. of First Floor:
Utilities:nr"*", Er"
NEER: _ Not Applicable
Address:City: State:
MORTGAGE COMPANY: _ Not Applicable
Name:
FEE SIMPtE TITLE HOTDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
OWNER/ CONTRACTOR AFFIDVIT: Rpplication is hereby made to obtain a permit to do the work and instaltation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
Str lqcie County,n1ak.99 no repre.sentation that is granting a permit will authorize the permit holder to build the subiect structurewnrcn rs tn connlcr wtrn any.appttcabte Home owners Association rules, bylaws or and covenants that mav restrict dr prohibit suchstructure, Please consult with 1)our Home owners AssoCiatfon ana ievl6w'yoijidtria'roi-anv're;t?'ili6i;iifiiin ina:v itpiv."-
ln consid.eration.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 5t. Lucie Couniy Amendinenti.
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 mav result in vour pavins twice forimprovements to your property. A Notice of Commencement must be recoided and iosted bn-the jobsite
before the first inspection. lf.you intend to obtain financing, consult with lender or an attorney bef6re
commencing work or recordin Notice of Commencement.
Rev.8/2177
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
Name of person making statement
Personally Known OR Produced ldentification
Type of ldentification
Produced
(Signature of Notary Public- State of Florida )
STATE OF FLORIDA
ciiiir[rV ci r - "'iir.tf{r\
The forJeoing instr!ment was acknowledged.before me
this Y orv orJt m.-Q_-- z@ uy
Personally Known _ OR Produced ldentification
Tvpe of ldentification
niiu,..o 354jIr5) 'tQ r5p D
Name of p'erson making statement
. ho"rrpro,t soi"
Kaiuyn E O'Reiltv
15[69]mmission FF' Expirgs 11t2gla019ffi
ZONING
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETED
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