HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q�
Date: Permit Number: F/�`� f 65-0)-40
COUNTY
F .. O R I . ,k - AN
'r
Building Permit Application 191079
Planning and Development Services Pe►nlittjp9 D
Building and Code Regulation Division St.Lade county n!
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbinga
PROPOSED.IMPROVEMENT LOCATION:
Address: 1207 Fleetwood Lane Fort Pierce FL 34982
Legal Description: Driftwood Manor Section 1
Property Tax ID#: 3404-806-0016-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .
Remove existing tub and install a new walk in tub no tile or drywall work being done
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all apply:
El HVAC Gas Tank LiGas Piping Shutters Q Windows/Doors
illElectric El Plumbing Sprinklers 0 Generator El Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Constructi n 1100 Utilities: Sewer 111Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Betty Sanford __Name: Ralph Traniello
_
Address:1207 Fleetwood Lane Company: North End Plumbing And Draind LLC
City: Fort Pierce State:F� Address: 11192 60 st N
Zip Code: 34982 I Fax: City: West Palm Beach State:FL
Phone No.772-272-8665 Zip Code: 33411 Fax:
E-Mail: Phone No.561 889-8074
Fill in fee simple Title Holder on next page(if different E-mail: billnorthendplumbing@gmail.com
from the Owner listed above) State or County License: CFC1429833
1
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION y 4
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Betty Sanford Name:Ralph Traniello
Address:1207 Fleetwood Lane Fort Pierce FL 34982 Address: 1207 Fleetwood Lane
City: Fort Pierce State: City: West Palm Beach State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:11192 60 st N 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 your Notice of Commencement.
-,Adf
ignature o w"ner/Lesse Contractor as Agent for Owner Si: a ure of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF/5 (. y1l COUNTY OF1572v//r0
The fgrgping instrument was acknowledgcd before me The forgoing instrumen as acknowledged before me
this!.5 day of 1yr . ,20%x"by this It day of —J LJ Le• ,2&J by
•
SANfiLie-A
Name • person aking statement Name of person making statement
Personally Known_ - OR Produced Identification Perso.• + 'nown OR Produced Identification
Type of Id. tfication Tyte of Identification
Product: / P od
•
—14;ii,d-i Wid• . "6/
(Signare of"tary Pub•- - - : - := • •igna Leet'? : OWIs
�:i °gid KATHRYN POCKER �� e v I �UN Gu49422
$ �A`' `t�, om �ize••• .` EXPIRES November 21,20110 i)
Commission •. `= PdY NIISSION#GG04942
-4,toy,civ EXPIRES November 21,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17