HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/16/2019 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 X
PERMIT APPLICATION FOR: Plumbing
'PRCi E
Address: 9680 LANDINGS DR
Legal Description: FAIRWAY LANDINGS PARCEL 10 LOT 11 (OR 885-1963)
Property Tax ID #: 3322-500-0033-000-3 Lot No. 11
Site Plan Name: _ Block No.
Project Name: WATER HEATER
Setbacks Front Back: Right Side: Left Side:
55 -GALLON ELECTRIC WATER HEATER REPLACEMENT
Additional work toe e Orme under t—checkispermit a appy:
0HVAC Ei Gas Tank OGas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑✓_Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 1,600.00 Utilities:Sewer OSeptic Building Height:
Name ROSE M KING Name: RICHARD BASSOFF
Address: 9680 LANDINGS DR Company: ADMIRAL PLUMBING SERVICE, LLC.
City: PORT ST LUCIE State: FL Address: 2895 JUPITER PARK DR, STE 700
Zip Code: 34986 Fax: City: JUPITER State: FL
Phone No. Zip Code: 33458 Fax:
E -Mail: Phone No. 561-746-1180
Fill in fee simple Title Holder on next page ( if different E -Mail: PERMITTING@THEADMIRALPLUMBER.COM
from the Owner listed above) State or County License: CFC1426115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .
Name:_
Address:
City:
Zip:
FEE SIMPLE TITLE HOLDER:
State:
MORTGAGE COMPANY: _ Not Applicable
Name
Address:
City:.
Zip:
State:
Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Address: 2895 JUPITER PARK DR, STE 700 Address:
City: City:_
Zip: Phone: Zip:_
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
commenc Work or recording vour Notice of Commencement.
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SUPERVISOR
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VEGETATION
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DATE
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DATE
COMPLETED
Rev. 8/2/17