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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCE N ED Pe umber: Date: w _.» Building Permit App�ICati©n Planning and DeveiopmentServices Building and Code Regufatian Division 2300 Virginia Avenue, Fort Pierce FL 34982 commercial ' , Residential Phone; (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: n36 Legal Description. _ Lot No. Tax Property Block Na Site Plan Name: Project Name: Left Side: Setbacks Front_.,_. Back: Right Side: _ J DETAILED DESCRIPTION OF WORK: �'l u1i WP fi 0 CONSTRUCTION INFORMATION ttiona war to e er orme un er t is permit--c ec a t at app y: �HVAC ��Gas Tank Gas Piping �Shutters �Windowsf Doors Electric �Plumbing Sprinklers [Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: Construction: Utilities:Sewer Septic Building Height:_ Cost of $ OWNE�RAESSEF: CONTRACTOR: Name Ual�'�f`/ a te Name: CRAIG MOBLEY Address: Y Company: bUTHERN PLUMBING, INC r City: State: Address: 4069 43RD AVENUE Zip Code: Fax: City: VERO BEACH StatB: FL Phone No.]I7_ 1 [ � Zip Code: 32960 Fax: 772-978-9843 E-Mail: Phone No. 772-564-6980 - Fill in fee simple Title Holder on next page (if different E-Mail: SOUTHERNPLUMBING@AOL.COM from the Owner listed above) State or County license: RF0067100 _ If value of construction is$2500 or more,a RECORDED!Notice of Commencement is required. SUPPLEMENTAL CQ3STRtfCTiQ`N LIEN LAV1l 1NFC�RMATiQN ;s DESIGNER/ENGINEER: X�, Not Applicable MORTGAGE COMPANY: X.,� Not Applicable Name: Name: Address: Address: City: State: City: - - - State: Zip: Phone: Zip: Phone: - FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 concurrency review: room additions, accessory structures, swimming pools,fences,wails,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 improve nts to your property. A Notice of Commencement must be recorded and posted on the jobsite before first inspection, If you intend to obtain financing, cons it with lender or an attorney before comm/riting `work or recording our Notice of Commencemen tom- 5 _Sig Owner/Lesse t Agent Sig t re ntractor icense Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF INDIAURIVER COUNTY OF INDIAN RIVER The far ping instrument was acknowledged before me The forgoing instrume t as acknowledged before me this j day of P c ,ice 20� -by this day of ,2010 by if (Name of pers n cknowledging) (Name of person ac nowledging) 1/1 0164� (5ignatur4 of Notary PPu ic-State Florida) (Signat re of Notary isic--Stat f Florida) Personally Known V ,b OR Produced identification Personally Known OR Produced Identification Type of Identification Produced Type of Identificatiori Produced Commission No. i �il�SY RAY q Commission No. MY COMMISSION#FF241665 :. kfMARLY MAY MY COMMISSION#F=F241665. Revised 07/15/201 (.97aj388 O553 E,o+ed�IdatArYscxvce.car (407)388.0153 FlorldaryoierySevirp.c�, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW GATE REVIEW REVIEW COMPLETE INITIALS