HomeMy WebLinkAboutPermit - 1827 Bar Harbor - signed ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 XXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 1827 Bar Harbor(Part of 1001 Angle Rd-Golden Ponds)
Legal Description: 3 35 39 NW 1/4-LESS AVON MANOR-UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR-UNIT 1
AND LESS CANAL AND RD RSIW AND LESS 1-95AS IN OR 237-1372-(99.02 AC)(OR 630-131)
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Connect water meter to residence per FPUA.
CONSTRUCTION INFORMATION:
Additional work to b M
orme under this permit—check a a apply:
®HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers i it Generator Roof
Total Sq_ Ft of Construction: S Ft_of First Floor:
Cost of Construction:$ 300.00 Utilities:Cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Pershing Motile Home Sales Inc. Name: Reed Sudderth
Address:901 NW 31st Ave Company: CRS Plumbing
City: Pompano Beach State:FL Address: P.O. Box 12755
Zip Code: 33069 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34979 Fax: 772-460-7774
E-Mail: Phone No. 772-1466-7763
Fill in fee simple Title Holder on next page(if different E-Mail: crsplumbing@bellsouth.net
from the Owner listed above) State or County License: CFC1426853
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:
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.
s
_Sigma re of Owner/Lessee/Agent Signat re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sttI.i� COUNTY OF stLua
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_2,�day of SijO 20 Eby this o Sday of_ Ju RS 20 d S by
Edward D.Jendon Edward D.Jendan
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Pub c- tate of Florida) (5i nature of Notary Publi - ate of Florida)
Personally Known Personally Known ✓ OR Produced Identification
Type of Identification P dikwd Notacy Piih1w S F Plnr HA Type of Identification Pr
Edward D Jendon ' Notary Public State of Florida
Commission No. My Co��i(ggij on GG 178514 Commission No. Edwar don
o�n Expire5`0�AT12022 e + My Co i GG 178514
n Expires 05/19/2022
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS