HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Applic tion JAN 1 g Zp�g
Planning and Development Services
Building and Code Regulation Division Permitting Depar:FL
2300 Virginia Avenue, Fort Pierce FL 34982 St. L I CEO tPhone: (772)462-1553 Fax: (772)462-1578 Commercial R e�
PERMIT TYPE:Plumbing
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PRO,P;OSED"IMPROVEMENT LOCATION: ,
Address: 2811 Bent Pine Dr. Fort Pierce, FL 34951
Property Tax ID#: 1334-502-0003-000-1 Lot No.86
Project Name: Master Bathroom Remodel
DETAILED DE5GRIPTI6N QUI' UUQRK '
Chip floor to redo water&waste line for free standing tub
Rough in for double lavatory sinks
Install tub &tub valve
Cf�NSTRUCTIC?N INFORi1YfATION
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 2,350.00 Total Sq. Ft of Construction:
FLOODPLAIN PME
DEVELONT PERMIT for structures exempt from Building Code that are in the
ftodplarn
Montes dential Farm Btarld'ing 1�rnpR'Bldg%Sheol„used e� clusively fo r cor�strue�r�on ���;
I obtle%Modular for temp.acon8 ruction office E Bldg in�cilved �n dis rib of electrtcrty
Othertlood doneFloodway Y/N If 1;
Noise Certificate With supporting data attached?Y/N
All other appiicabiestate ind,fe&eral,permits shall be obtained rior#oco.'mmencerne► of
c .nstructlon
OWNER/LESSEE CQN7RACTQR t
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Name Franklin White Name:James Marsala
Address:2811 Bent Pine Dr Company:Peerless Plumbing & Drain
City: Ft. Pierce State:_ Address:651 NW Enterprise Dr Unit 106
Zip Code: 34951 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34986 Fax:
E-Mail: Phone N0772-223-1356
Fill in fee simple Title Holder on next page if different E-Mailjames@peerlessplumbing.net
from the Owner listed above) State or County License CFC 1428692
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LiN LAW INFORMATION ,
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 COMPANY: Not Applicable
Name: Name:
Address: 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 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 work or recording o otice of Commencement.
Sig=EOF
wner/Lessee/Contractor as Agent for Owner Signature of ractor/License Holder
STORIDA STATE OF FLORIDA
COUNTY OF C,-4-WCO!_ COUNTY OF S�-(.0-U`e—
The forgoing instr ment was acknowledged before me The forgoing instrument was cknowledged before me
this�day of ,,li�uQ 20-d by this '`1 day of �OIRJa ( 20-H by
UQ►Y12S �-lar�Cl10 J�T�I�S Mc�IrSCI6Q
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identificationy Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L L M(o'?- -�5 5 `16 20`1 — `� Produced(-DL H 6244-5-5 1 C0`�1'0
�� CAROLINA ROMA
Si nature of Nota Public-Stat Florida - a eo1 lora
( g Notary ri a) (Sig ture of Notary Public-State 1 r
0'y
H� CAROLINA ROMAN :,y , , �v, Commission N GG 133 1
,�. Notary Public-State of f rida My Comm.Expires Aug 1 2 1
Commission No. G6 13311(0 '�a} GG h�`1 i fo
) CommissionNGG133 1GCOm�'1I5510n No.
My Comm.Expires Aug 13 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1 20 9