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HomeMy WebLinkAboutPermit - 4946 S 25th St - signed ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: 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 xxxx Residential PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 4946 S 25th St Legal Description: See Attached Property Tax lD#: 3404-602-0001-000-4 Lot No. Site Plan Name: Block No- Project Name: Setbacks Front Back: Right Side: Left Side: LDETAILED DESCRIPTION OF WORK: Connect FPUA meter to building. [CONSTRUCTION INFORMATION: Additional work to e e orme un er t is permit—check a apply* ©HVAC f Gas Tank ❑Gas Piping _Shutters F]Windows/Doors 11 Electric ❑✓ Plumbing E]Sprinklers I Generator D Roof Total Sq-Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 450.00 Utilities: 11 Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael Ennis f Tim Stater Name: Reed Sudderth Address:9216 SE Karin St Company: CRS Plumbing City, Hobe Sound State:FL Address: P-O- Box 12755 Zip Code: 33455 Fax: i City: Fort Pierce State:FL Phone No_ Zip Code: 34979 Fax: 772-460-7774 E-Mail: Phone No_ 772-466-7763 Fill in fee simple Title Bolder on next page(if different E-Mail: crsplumbing@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: 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 recordin our Notice of Commencement. 4 S _Sign Ed re of Owner/Lessee/Agent Signa e of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Stt:ucie COUNTY OF strud. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27 day of gUG� 20 Eby this-27day of AdC ,20 (9 by Edward D.Jendon Edward D.Jendon (Name of person acknowledging} (Name of person acknowledging) 9'�.J02!'� YC4� n"=== (Signature of Notary Vic-State of Florida} (Si ature of Notary P li -State of Florida} Personally Known ✓ r f r it Personally Known / OR Produced Identification Type of Identification P �d_����@@ _ Type of Identification Pro Bf}�{3N`v'nieC-5le:e-p/flori r .►►`' +y. Notary Public State of Florida Edward D Jendon ', a� Edw Y ndon Commission No. . o` My Co"Pn GG 178514 Commission No. � My Co n GG 1785i4 orn Expires 95119/2022 r.a Expires 0 511 91202 2 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 RENAISSANCE COMMONS (OR 2899-2434) UNIT 1- LESS THAT PART FOR RD R/W MPDAF: FROM W 1/4 COR OF SEC 4 36 40, TH S 00 12 54 E 0.82 FT, TH N 89 5159 E 3.90 FT, TH N 89 44 43 E 83.93 FT, TH N 00 15 17 W 40 FT TO POB; TH N 43 39 56 W 69.59 FT, TH N 00 14 50 W 91.15 FT, TH N 07 19 26 E 77.94 FT, TH S 02 15 37 E 60.26 FT, TH S 11 16 51 W 24.53 FT, TH S 02 12 54 E 73.69 FT, TH S 46 10 27 E 43.44 FT, TH N 89 51 59 E 154.20 FT, TH S 00 14 50 E 30.51 FT, TH S 89 44 43 W 147.60 FT TO POB- (0.89 AC - 38,657 SF) (MAP 34/04N) (OR 3318-2830)