HomeMy WebLinkAboutBuilding Permit Application__~;o
r:
SLJP~kEMENTAL CONSTRUCTION L:lEN LAW INFORMATION:""....."',
;'._"__.':0.';1 ;.-':R ...,,-
•.·C "•••••--•.-.-.''..•••."._.•••'"..-__-'-"_''''',t;
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:
-------------
OWNERI 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 structurewhichisinconflictwithanyapplicableHomeOwnersAssociationrules,bylaws or and covenants that may restrict or prohibit suchstructure.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 vour Notice of Commencement.
=-Signature ot Contractor/License Holder====:
STATE OF FlOR~•
COUNTY OF ~
STATE OF FlORI~l
COUNTY OF ~d h-
The forgoing lnstrunjgnt was acknowledged before me
this~dayof U~,20_[Py
:J)au \&~&-
_taten
DATE
RECEIVED
MANGROVE
REVIEW
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
PLANS
REVIEW
DATE
COMPLETED
Rev.8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:9/5/18 Permit Number:
ilti:£1M!~.::1:..
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 Residential x
PERMIT APPLICATION FOR:To Select from dropbox,click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:'"-
Address:171 N.Carpona Ave
Legal Description:River Park Unit 4
Property Tax 10 #:3419-530-0231-000-1 Lot No.9
Site Plan Name:Block No.40
Project Name:
Setbacks Front Back:Right Side:Left Side:
I DETAILED DESCRIPTION OF WORK:'.I
Replace all plumbing fixtures.Install 50 gal ele w/h.Install new washing machine box,shower valves,pans &bath tubs.
r,
CONSTRUCTION,I N FORMATION:q~-;..,.
:,>
~.-"'
Additional work to y prtormed under this permit -check all EJ apply:o Windows/DoorsDHVAC_Gas Tank DGas Piping _Shuttersn..,1..1 1 Plumbing o Sprinklers DGenerator DRoof D Roof pitch
Total Sq.Ft of Construction:SI]of First Floor:
Cost of Construction:$2,500.00 Utilities:_Sewer DSeptic Building Height:
OWNER/LESSEE:CONTRACTOR:
Name Warbird Properties LLC Name:David Spalding
Address:4010 S.57 th AVE STE 103 Company:The Plumbing Works Inc
City:Greenacres State:FL Address:3473 SW Europe ST
Zip Code:33463 Fax:City:PSL State:~
Phone No.Zip Code:34953 Fax:
E-Mail:Phone No.772-336-7272
Fill in fee simple Title Holder on next page (if different E-Mail:theplumbingworksinc@gmail.com
from the Owner listed above)State or County license:CFC1428419
If value of construction is $2500 or more,a RECORDED Notice of Commencement is required.