HomeMy WebLinkAbout18110491 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/27/18 Permit Number:
_J Trcji
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: Plumbing 7;
70'k, ED IMPROVEMENT LOCATION.
Address: 2270 BELL AVE
Legal Description: 28 35 40 FROM SW COR OF SEC RUN NLY ON W SEC LI 40 FT, TH ELY//WITH S LI OF SEC
490.45 FT FOR POB , TH CONT ELY 152 FT,TH NLY 302.58 FT, TH WILY 152 FT, TH SLY 302.58 FT TP POB
Property Tax ID#: 2428-331-0001-200-6 Lot No.
Site Plan Name: CARRAWAY Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
Ltp
CONSTRUCTION INFORMATION-
Additional work to e e orme under tispermit-checka appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ Utilities. Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name GLENN CARRAWAY Name. ROBERT TRYON
Address: 2270 BELL AVE Company: TRYON PLUMBING INC
City: FT PIERCE State: FL Address: 925 WAGNER PLACE
Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 772-465-0284
Fill in fee simple Title Holder on next page(if different E-Mail: TRYON10 a(J� OL.COM
from the Owner listed above) State or County License: CFC 0568
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:925 WAGNER PLACE 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 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 workpi recording our Notice of Commencement.
Signature of Owner/Lessee/Co ra as Agent for Owner Signature of Contractor/License Holder
r--
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF cSh LZi c le,
The for oing instrument was acknowledg d before me The foEgoing instrument was acknowledged efore me
this day of NOVEMBER ,20 by this I day of KloyeYV1Y�.l�21 by
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known Q OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature o 0 (Signature oMotary Public-S e of FI a)
_Wye4" MARIEGIESY•VARNEY
Commission ;: = t"a'y'�.o';c-State 01svw) Commission No. (Seal)
Ion R GG 10801
Ny COQ"m.Expires May 1,2021
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f: ^�ucFhatlonalNotary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE � ;���, KARLEYMARIEGIES VARNEY :k+�p� ;: KARLEYM RIEDGIESY-VAANEY
COMPLETED :• �'': '�'. �; No
Puke-ReV.8/2/1] CommissionrGG099801 CommisslonMy Comm.Expires Mayr 1,2021My Comm.ExpiIN relthrouSl National NotaryAssr., Bonded through Na