HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I2,1 21.1 18 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 Commercial Residential
PERMIT APPLICATION FOR: Plumbing Til
Address: 't L _') (
Legal Description:
E
-2u5o
Property Tax ID #: 1,4 Z O l ' 0 B - (0O - I Lot No. _
Site Plan Name: Block No.
Project Name: FOb t e
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
We M11 supply and install a new A0 gallon electric Water
heater.
CO
CONTRACTOR:
Name fliyi(I 4 '000nIe. FOO FG
Name: CRAIG MOBLEY
TXtrona work o tie]rtormecl under
is permi - check
all th appy:
E
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
E -Mail: W I A
HVAC
E -Mail: SOUTHERNPLUMBING@AOL.COM
Gas Tank
❑Gas Piping
_Shutters
Windows/Doors
11 Electric 21 Plumbing
Sprinklers
0Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: S '2 1 000. ()0
Utilities:[]Sewer
E
Septic
Building Height:
O W N ERAESSE E:
CONTRACTOR:
Name fliyi(I 4 '000nIe. FOO FG
Name: CRAIG MOBLEY
Address: 5 214 Alt fa ma n O r iy e
Company: SOUTHERN PLUMBING, INC
City: n ( i A nctc) State: FL
Zip Code: ?j Z S 00t Fax:
Phone No. 401 -alai - UOg8
Address: 4069 43RD AVENUE
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
E -Mail: W I A
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E -Mail: SOUTHERNPLUMBING@AOL.COM
State or County License: RF0067100
•1 lizi — w w„w vu,v., a paauu yr more, a ncwnueu notice m commencement is required.
t
FRONT
ZONING
SUPERVISOR
PLANS
1.
1 ,.
DESIGNER/ENGINEER
xNot Applicable
MORTGAGE COMPANY.
x Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
DATE
Address:
_
City:
State:
City:
_
State:
Zip: Phone:
COMPLETE
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
INITIALS
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which [sin coniiict 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, 1 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
commeD le work or recording vour Notice of CnmmPnrPmPntA
_ Sig'tntvr15 of
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The forgoing instr ment was acknowledged before me
this�dayof Uecemher 20 l$ by
r
( ignatu t Notary Publi tate of Florida) —
Personal Known OR Produced Identification
Type of dentification Produced
Commission No. 11 C i, `J ,N..LSea]��,y Public
+9t� Kristin Kylie
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF INDIANRIVER
The forgoing instrument was acknowledged before me
this 2ndayofDILL&MinC,Y ,20 18 by
{Name of
Personally'Known v OR Produced Identification
Type of Identification Produced
No.
aryPublie State of
Min Kylie Webb
Commismon GG 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS