HomeMy WebLinkAboutPermit - 2282 W Midway Rd - signed ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Fierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXX.
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2282 W Midway Rd
Legal Description: See allached
Property Tax ID#: 3403-502-0094-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Connect FPUA meter to customer house.
CONSTRUCTION INFORMATION:
A �teona wor to e orme un er t is ermflt—check a a p y:
_HVAC M Gas Tank Gas Piping Shutters Windows/Doors
❑Electric W1 Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 350.00 Utilities Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Forest t Caroline Capobianco Name: Reed Suddedh
Address:
2282 W MidwayRd Company: CRS Plumbing
City. Fort Pierce State:FL Address: P-0. Box 12755
Zip Code: 34981 Fax: City: ForL Pierce State:FL
Phone No. Zip Cade: 34979 Fax: 772-460-7774
E-Mail: Phone No. 772-466-7763
Fill in fee simple Title Holder on next page(if different E-Mail: crsplumbing a@bellsouth-net
from the Owner listed above) State or County License: CFC1426853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/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:
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 concurrent 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.
6'"&k —&�
s
_Sign re of Owner/Lessee gent Signa f Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF StL... COUNTY OF siL
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Z` day of Auq , 20 Lby this 2-4 day of AIs4 ZO (S by
Edward I).Jendon Edward D.Jendon
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- t e of Florida) 4(sigat—ure of Notary Pub c- tate of A=lorida
Personally Known ✓ OR Produced Identification Personally known ✓
Type of Identification Type of Identification Pr _ut* . icStatesf Fkfcid
ePON IN. Public State of FkWida ' � , �F�W�r-d p Jendon
Commission No. . Edwarfj�dgndon Commission No. 'CMG 178514
My Commission GG 178514
Expires 05/1912022
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Legal Description
WHITE CITY S/D 04 36 40 W 1/2 OF: LOT 61-LESS TO RD R/W AS IN OR 237-1932 AND
LESS W 40 FT AND LESS W 5 AC LYG NLY OF MIDWAY RD AND ELY OF HAWLEY
RD RS/W AND LESS ADDL RD R/W MPDAF: FROM W 1/4 COR OF SEC, TH S 00 12 54 E
0.82 FT, TH N 89 5159 E 3.90 FT, TH N 89 44 43 E 383.11 FT, TH N 00 15 17 W 40 FT TO
POB: TH N 00 14 50 W 30.19 FT, TH N 89 51 59E2.43 FT, THS763816E51.42 FT, THN
89 5159 E 321.36 FT TO CURVE CONC N, R OF 3,237.04 FT, TH ELY ALG ARC 93.76 FT,
TH S 00 14 38 E 18.56 FT, TH S 89 44 43 W 467.52 FT TO POB- (6.52 AC - 284,011 SF)
(MAP 34/04N) (OR 462-930)