HomeMy WebLinkAboutPermit - 3404 Menendez - 8-13-18 signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
COUNTY
F._L O' R- is D R.-..
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address. 3404 Menendez
Commercial Residential Xxxx
Legal Description: DARK HAMMOCK ESTATES -UNIT ONE- BLK 2 LOT 4 AND W 17 FT OF LOT 5 (0.46 AC) (OR 1536-589:1814-1230)
Property Tax ID #: 2408-702-0006-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:.
Right Side
Replace existing HWH with 40 gal electric
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Add ttional work to bp nP rtormed under tispermit—check all appy:
❑HVAC I Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
[I Electric Plumbing ❑Sprinklers ❑ Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 800-00
5 Ft_ of First Floor: _
Utilities: Sewer 11Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ARC of St Lucie County Inc
Name: Reed Sudderth
Address: P,o. Box 1016
Company: CRS Plumbing
City: Fort Pierce State: FL
Zip Code: 34954 Fax:
Phone No. 772-618-0956
Address: P.O. Box 12755
City. Fort Pierce State: FL
Zip Code: 34979 Fax: 772-460-7774
Phone No. 772-466-7763
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: crspiumbing@bellsouth.net
State or County License: CFC1426853
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL_ CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:.
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
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 your Notice of Commencement.
Sig ture of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY O F s-
The f—going instrument was acknowledged before me
this /3 day of 6)U4' 20 6Lby
Edward D. Jendon
(Name of person acknowledging)
L��r
(Signature of Notary Pu f - State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Pro c d
a Nolary Puts4ic State of Florida 1
Commission No. `� Edv(1� 6 Jendon t
�+ iuy Commission GG 178514 l
+}a�,�Q* Explte50511912Q22 t
Revised 07/15/2014
se Holder
STATE OF FLORIDA
COUNTYOF stU6.
The forgoing instrument was acknowledged before me
this 13 day of :moi' , 20 riP by
Edward D-Jendon
(Name of person acknowledging )
e6"A�'�
(51gnature of Notaryu ic- State of Florida j
Personalty Known ✓ OR Produced Identification
Type of Identification Produ ed 110
io`W r No �uy _PPµb+lic State of Florida
Commission No.
i;dL7S�t Jendon
e My Commission GG 178514
Expires 05/1912022
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