HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/14/18 Permit Number: `,Ao J �36J
RECEIVED
Building Permit Application AUG 14 2019
Planning and Development Services
Building and Code Regulation Division ST. Lu61 EdrdfltYr Psrrnitting
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: 1808 Hazelwood dr.
Legal Description: Estates of Lawnwood
Property Tax ID#: 2433-502-0012-000-4 Lot No.12
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OF WORK
Replace 50 gallon electric water heater in garage
CONSTRUCTION fNFORMAT_ ION:
Additional work toe e orme under this permit—check a appy:
QHVAC E]Gas Tank QGas Pi _ Windows/Doors
Piping Shutters Q
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 800.00 Utilities:Sewer F]Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name David Varn Name: Gary Ferris
Address:1808 Hazelwood dr Company: Reel Plumbing
City: Fort Pierce State:Fl_ Address: 4714 S. U.S. Highway 1
Zip Code: 34982 Fax: City: Fort Pierce State:FI.
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 772-621-8282
Fill in fee simple Title Holder on next page(if different E-Mail: reelpiumbing@hotmail.com
from the Owner listed above) State or County License: CFC1429318
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S:UP.PLEMENTAL CONSTRUCTION-LIEN LAW INFORMATION:- _
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N am e:David Vam N a m e:Gary Ferris
Address:1808 Hazelwood dr. Address: 1808 Hazelwood dr
City: Fort Pierce State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4714 S.U.S.Highway 1 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 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 1 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
commenciogwork or re o ding your Notice of Commencement.
Sign "re ofner/Lessee/Contractor as Agent for Owner Signature Conk actor License Holder
STATE OFZoRIDA STATE OF FLORIDA ,
COUNTY OF 5a-_, Lt1 i V, COUNTY OF 1,% c
The forgoing instrument was acknowledgeg before me The forgoing instrument was acknowledgel before me
this N 1k 0. �day of � 20 .
by this�day of O► 20�% by
s
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced T_ L Produced L L
(Signature of Notary blic-State of Florida) (Signature of Nota IE GIVENS
Commission No. qsK�ro� NA IE�NIS
tiNS s mmission No. MPS� �irG6,200�3
OEAN MI N#GG 02202
MMISSX0 6,2020 `;;....•oPo- BondedThruNotaryPubliclSnderwriters
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REVIEWS FRONT N ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17