HomeMy WebLinkAboutDavid Kaplen SLC Building PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CO' . NTYr
F L 0 R B D A..
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION,
Address.. 410 SE Naranja Ave Port St Lucie FL 34983
Legal Description: River Park- Unit 4 BLK 32 lot 19
Property Tax ID #: 3419-530-0019-000-09
Site Plan Name:
Project Name: David Kaplan
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Right Side: Left Side:
Lot No. 19
Block No. 32
Install approximately 45' of 4" PVC pipe to connect to municipal sewer system & abandon septic tank.
CONSTRUCTION INFORMATION:
itiona
work toe e orme un er
�'"�J�j HVAC Gas Tank
LElectric Plumbing
Total Sq. Ft of Construction: 45'
Cost of Construction: $ 1810.00
OWNER/LESSEE:
Name David & Laura Kaplan
anis permit — cl
[]Gas Piping
Sprinklers
a
LL1 Shutters o Windows/Doors
[ Generator 0 Roof O Roof pitch
SFt. of First Floor: _
Utilities: Sewer Septic
Address: 410 S Naranja Ave
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 954-275-5638
E -Mail: dkaplan73@hotmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Lonnie Culbertson
Building Height;.
Company: Jensen Beach Plumbing
Address: 1086 NE Industrial Blvd
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 772-225-6779
Phone No. 772- 225-6600
E -Mail: michele@jensenbeachplumbing.com
State or County License: 24654
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1086 NE tndustdal Blvd
Address:
City:
City.
Zip: Phone:
zip: Phone:
OWNER/ 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 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 1 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 reco-Wyi17 your -Notice of Commencement.
Rev. 8/2/17
Ignature of 041—nsee/Cont or as Agent for Owner
S' of Contrac o
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STATE OF FLO A
STATE OF FLO A
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Type of Identification
Type of Identification
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17