HomeMy WebLinkAboutBuilding Permit Application DEC/13/2018/THU 11 ;21 AM FAX No. 561-744-7101 P. 002
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date i 8 J - 7
�'t' 7• Permit Number:
. 1 RECEIVED
Building Permit Applicati in DEC 13 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce PL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial R§;'rAH9!f! )C0� FL
PERMIT APPLICATION FOR: Plumbing
Address: 234 OCEAN BAY DRIVE
Legal Description: OCEAN BAY VILLAS(OR 2627-1946)UNIT 234(OR 3376-997;3409-356)
Property Tax ID#: 3522-608-0063-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front , Back: Right Side: Left Side:
EMUS,M,
50-GALLON ELECTRIC WATER HEATER REPLACEMENT
nnitiona workto e e orme under is permit—c ec d appy:
1 1HVAC Gas Tank Das Piping Shutters O Windows/Doors
®Electric 0 Plumbing Sprinklers Generator g Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction.$ 1.510.00 Utilities: Sewer EISe is Building Height:
Name MICHARL VITALE Name: RICHARD BASSOFF
Address: 234 OCEAN SAY DRIVE _ Company. ADMIRAL PLUMBING SERVICES
City: HUTCHINSON ISLAND State:FL Address: 2895 JUPITER PARK DR,700
Zip Code: 34957 Fax: City: JUPITER i _ State-.FL
Phone No.772-204-2394 Zip Code_ 33458 I Fax:
E-Mail: Phone No- 561-746-1180
Fill in fee simple Title Holder on next page(if different E-Mail: PERMITTINGf THEADMIRALPLUMBER.COM
from the Owner listed above) State or County License: CFC-1426115
If value of constructlon is$2500 or more,a RECORDED Notice of Commencement is required.
I
DEC/13/2018/THU 11 ;21 AM FAX No, 561-744-7101 P. 003
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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 COMPAkY: Not Applicable
Name: Name:
Ad dress:2895 JUPITER PARK DR.700 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.
1 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 an' restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in al 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 teview: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 Commencementmays
Md"
esult in your paying twice for
improvements to your property. A Notice of Commencement must be record and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencfork or recording our Notice of Commencement.
Signa ure of Owner/Lessee/ ontra r as gent for Owner Signature of ContractoVLlcense Hol r
STA
E OF
1 STATE OF FIL
OUTNTY Or- �fI�7` o C,in_ COUNTY OF f)i G _
The fQ$ oing instru t was cknowled e I before me The f r oing instr merit was acknowledged before me
this !�day of I 20� by this day of 20j by
vci _ GZ SO E , IPC4 cs
Name of pens rgAaking statement Name of per Is making statement
Personally Known OR Produced Identification Personally Known i OR Produced Identification .
Type of Id. iificatiort Type of Identification
Produce Produced
I0 Oldf 'lo a,(I
(Signature of N ary P (Si nature of No
NIGOL LIVAN ;,:'�: NIG LLIVAN
Commission No. = MY C0?45Q8gI0N li GG043125 Commission No. =" '=MY GOMMISSIO gffO43125
EXPIRES October 30,2020 F�CPiRES October 301.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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