HomeMy WebLinkAboutcounty permit ap williamsALL APPLICABLE INFO MUST BE
FLR.I H H
FT
PLETED FOR APPLICATION TO BE ACCEPTED
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 X
PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2901 Langston Dr
Legal Description: SHERATON PLAZA -UNIT THREE REPLATLOT 189 (OR 200-2444)
Property Tax ID #: 1432-806-0057-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
replaced existing gas water heater in garage
Lot No. 189
Block No.
CONSTRUCTION INFORMATION:
Additional wor to be nerformed under this permit— check all appy:
HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric Plumbing Sprinklers E Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 300.00
S�Ft.j of First Floor: _
Utilities: �1Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameEliza Williams
Name: James Sinclair
Address:2901 Langston Dr
Company: Mr Rooter of the Treasure Coast
City: Fort Pierce State:FL
Zip Code: 34946 Fax:
Phone No. 772-9407707
Address: 534 NW Mercantile PI, suite 119
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-236-7300
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: james.mrrooter@gmail.com
State or County License: CFC1425604
„Q�W= V ULLIVIl ib aeavv or mure, a mrs-u cure rvozice oT commencement ►s required.
PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
IGNER/ENGINEER: _ Not Applicable
FAd
MORTGAGE COMPANY: Not Applicable
Name: Eliza Williams
Name: James Sinclair
ress:29o1 Langston Dr
Address: 2901 Langston D,
City: FortPierce State:
City: Port St Lucie
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 534 NW Mercantile PI, suite 119
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n1A/IUCD/ r^k rnArrr%n A l X11 i-_ .
Produced
----.•�. /17-1 vn Arriuvi i : 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 our Notice of Commencement
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORID
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
this l$L day of sciln
The for oing instrument was acknowledged before me
20jS�by
this day of 20 y
^x -Ace i t
Q ��GS S T)
Name of pers aking statement
Personally Known
Name of persgn making statement
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publi � e i�rili�t�ryPubiic •State of Floc a( nature of Notary P lic- td L y
e�(� 'r,� �l�
� Commission FF 97040
,
P.G�Gt/1�� y Public •State of FI
Commissio�No 01 d�; t ltm. Expires Mar 10,
2 mission No. /�&$ mission #k. FF 9704
101 0 m. Expires Mar 10,
nnu��
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17