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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
09/05/18 Permit Number:
e �'s
Building Permit Application a \
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 Residentia
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION: .
Address: 494 THAMES BLUFF RIDGE H-50
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT H-50
Property Tax ID#. 3410-508-0230-000-8 Lot No. 10
Site Plan Name: CARTER Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED D.,ESCRIPTION°OF WORK:
LKCL} CIwaXSC OXA 0k �orkc h2ci�c 20 Gal low 9=0\0
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—c ec a appy:
❑HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ✓❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 350 Utilities:Sewer❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Name: ALLEN STEINMAN
Address: Company: SERVICE AMERICA
City: State:FL Address. 2755 NW 63RD CT
Zip Code: Fax: City: FT. LAUDERDALE State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@servicesmerica.com
from the Owner listed above) State or County License: CFC057026
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UE`N LAW 1WFORMATION:
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 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 our Notice of Commencement.
CAs
Signature of Ow r essee/-Go tractor as Agent for Owner Signa r° of ontra`ctor/L ense Holder
STATE OF FLODA STATE OF FLOR�
COUNTY OF `�a> "'a'' :=.,/ COUNTY OF O c JQdG'
The f instr nt ackn wledged before me Thee f ing inst ttas ac nowledged before me
this day of P.»'!�e°v 20 /8 by thi day o 20 l� by
ALLEN S MA* ' ALLEN STIEN AN
(Name f person a owledging) (Name of per n kn wledgin
(Si ature ota ate of Florida) Ignatu of No ary - a e o
Sheneka Hardy
Perso _ q uced Il3t*tifiija�tldard_ Personally Know e' f�Plc6 fd&&llflt�t�kVtffMida
Type of Identification a`c� c' NotaryPublic-StateofFlorida Type of Identifica d Commission#GG 33870
c Commission#GG 33870 ~'sc:: �' Expires 9/27/2020
Commission No. ''F G o ra*Mr)'s 9/27/2020 Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS