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HomeMy WebLinkAboutBuilding Permit Application ALL APPL//IC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: lii2 o�S a Permit Number: I 0 © 1 • RECEIVED Building Permit ApplicationLL �u� I ® Zo>a Planning and Development Services Building and Code Regulation Division ucie County, Permitting 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: I Sg9 S17W e e sfJ� .CX.e Legal Description: HARBOUR RIDGE-PLAT 8-SWEETBAY VILLAGE UNIT 31(OR 834-2508: 1289-804) Property Tax ID#: 4426-803-0054-000-8 Lot No. Site Plan Name: Block No. Project Name: 1599 SWEETBAY CIRCLE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REMODEL THE EXISTING BATHS - TIE INTO EXISTING COPPER AND PVC PIPING. [EPN:ST��UCTIO_N:INFORMATION:, . Additional work to be nertormed under this permit—c eck all appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Electric Plumbing Sprinklers EI Generator E]Roof Roof pitch Total Sq. Ft of Construction: Ft.of First Floor: Cost of Construction:$ 2050.00 Utilities,: Sewer 0Septic Building Height: OWNERAESSEE: :' CONTRACTOR: Name Name: Lf} �tShti� Address:_ 1S°iq Swe-e-*day e� ��\z Company: AQUA DIMENSIONS PLUMBING City: ia\.�C; 1-y State: 1 Address:�97 SSW S. QC' w Zip Code: 34`r4b Fax: City:_Yor�Sf- Ldc�P State.FL Phone No. `I't�)-3Wy-'8433 Zip Code: 34984 Fax: 772-343-7418 E-Mail: Phone No. 772-344-8433 Fill in fee simple Title Holder on next page(if different E-Mail: ADPS@AQUADIMENSIONS.COM from the Owner listed above) State or County License: CFC057526 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL'CONSTRUCTION LIEN -LAW INFORMATION- DESIGN ER/ENGIN EER: NFORMATIONDESIGNER/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 thepermit 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. Signature of Owner/LesAWContractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF <5/- /' C COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thisc?Sday of JL,-,x_ 12011t- by this 25 day of JUNE 20_kby "&ond�-, k_c4­6 dl� y�er7 ZVa Oh— Name of person making stat ment Name of person making statement Personally Known Y OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced 40-M r4q.4z�� _. &� (Signature of Notary Public-State of Florida (Signature of otary Public-State of Florida,I LESTER LISA LESTER tpR ,4s Commission No. �� s��s NO M PUBLIC �6 �� r so� RY PUBLIC STATE OF FLORIDA Commission No. o E OF FLORIDA Comm#GG127647ysi spa Comm#GG127647 e N� 1Pynirpq 7124/2()21 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17