HomeMy WebLinkAboutBuilding Permit Application JUL-24-2016 00:20 FROM:ACE PLUMBING 7725678494 TO:1772462157e P.2/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: olevy
Permit Nu ���7
RECEIVED
Building Permit Application JUL 2 3 2018
Planning and Development Services
Building and Code RegulotlonDivision Permitting ®ePartment
2304 Virginia Avenue,Fort Pierce FL 34982 stLUC U nty, FL
Phone:(772)462-ISSR Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PRUPOSEI� IMPROUEMENI'LOCgT10N;
Address: 3870 N Highway Al Apt 201, Fort Pierce, FI$4949
Legal Description:Hibiscus By The Sea Condominium Bldg 1 Unit 201 (OR 3762-1286; 3762-1259)
Property Tax 10#: 1423-805-0005-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI��D D�SCRIt7'1'ION OF WORK: . , -.
Remove existing tank electric hot water heater, install electric tankless hot water heater. No electrical
work.
CONSTRUCTION INFORMATION.
A0clitionalwork to 1 De ertormetV un er is permit--C ec a appy:
❑HVAC Gas Tank Gas Piping _Shutters ❑windows/Doors
Electric L''J plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: So. Ft.of First Floor:
Cost of construction:$ 1120.00 Utilities:0 Sewer OSeptic Building Height:
OMER/LFWE . CONTRACTOR:
Name Gregory Osbome S Niki Haan: Name; Daniel Washburn
Address:3870 N Highway Al Apt 207
Company:Ace Plumbing, Inc,
City. fort Piece State: FI Address.. 665 4th Place
Zip Code: 34948 Fax., City. Vero Beach State FI
Phone No. 1-631.428-2245 Zip Code: 32962 Fax: TT2-567.8494
E-Mail: Phone No. (772)5623780
Filf in fee simple Title Holder on next page{if different E-Mail: Ace,plumbing@comcast.net
from the Owner listed above) State or County License: CFC032636
If value of construction is$7.504 or more,a RECORDED Notice of Commencement Is required.
JUL-24-2018 00:21 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.3/3
SUPPLtMA1`AC CON51'RUCTION. LIEN k„AW INFORMATION:
DESIGNEE/ENGINEER: Not Applicable MORY�AGE COMPANY: Not Applicable
Name:om>rory Oehoma a Niki khan Name:,)—,-,w.a.hwin
Address:3870NKoh-"AIA API?fN_Fail Piwd.,F134040 Address: �70NMll ftyAlAAplZ07
City: Fin Ply State: City- VIsm eg6ah Rate-
Zip: Phone Zip: Phone: -
FEE SIMPLE TITLEHOLDER:. _Not Applicable BONDING COMPANY: ,.,,_,Not Applicable
Name: Name:
Address:66541hPl. 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 represegation 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 Ow er/Lessee/Contractor as Agent far dwner Signature of Contractor/License Holder
STATE OF FLORI A STATE OFF R A LouNTY OF R%:1 [li\�P s _ COUNTY OF)MME n \1�
The ing it s ent was acknowledged before me The oing Inst rent was acknowledged before me
thiorgoday of 26a by this Zday of \ 20�8, by
ban 1 C2 �k�xn
Name of r on making statement Name of_p�rson making statement
Personally Known OR Produced Iden ication Personally Knowe OR Produced Identificati
Type of Identification 0„k Type of Identification
Produced LL� Produced
31
� � Wars
W
(sig Lure of Notary Public-State of Florida) , (Sign tura of Notary Public-State of Florida)
Commission No. (sea Commission NJ2.fa Aa 1 (Seal)
M.A.
.
REVIEWS FRONT ZONING R PIANS VEGETATION SEA TURTLE M G
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _._.. . --
COMPLETED
Rev,8/2/17 u