HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Applic 2 2 2019
Planning and Development Services g department
Building and Code Regulation Division e County,
2300 Virginia Avenue, Fort Pierce FL 34982 , FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R
PERMITTYPE:PIumbing
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Address: 5055 N Al Hwy#705 t. Pierce, FL 34949
Property Tax ID#: 1414-601-0143-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
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Remove existing tub and install new Walk in Tub. No tile or dry wall work being done
Additional work to be performed under this permit–check all that apply:
_Mechanical —Gas Tank _Gas Piping —Shutters —Windows/Doors
—Electric —Plumbing —Sprinklers —Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1700.00 Utilities: —Sewer —Septic Building Height:
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Name Leona Schuyler Name:Ralph Tranielllo
Address:5055 N Al#705 Company:North End Plumbing and Drains LLC
City: Ft. Pierce State:— Address:11192 60th st N
Zip Code: 34949 Fax: City: WP•B State:FL
Phone No.732-236-7707 Zip Code: 33411 Fax:
E-Mail: Phone No 561-718-8074
Fill in fee simple Title Holder on next page(if different E-Mail billnorthendpiumbing@gmail.com
from the Owner listed above) State or County LicenseCFC1429833
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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 our Notice of Commencement.
Si ature of Owner/Lye ssee/Contract as Agent for Owner Sign46re of Contractor/License Holder
STATE OF FLOR�D�y�/� STATE OF FLO A
COUNTY OF 24h h '� 6 " COUNTY OF 10
The f r oing instrumentwas acknowledgebl efore me The f r oing instrume t was acknowledgg before me
this day of (�( 20 11 by this day of 20f�"v by
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Name of person making stat-—Int. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identif' ion Type of Identif'
Produ d Produc d
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(Signature a u T SignaturMO..
MTcHRWM�teWa)
M fission GG 049422 My Commission GG 049422
o Expires 11!21/2020 pres121/2020Commission o. orcti (Seal) CommissiSeal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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