HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
(� U3!_
Date: 02— ;149- /�� � Permit Number: \l 9 1 v lU5
c, l'tilr -_-_7
COUNTY
-1 L 11 10 n-- _', RECEIVEd
BuildingPermit Application
!
FEB 2 0 tot
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St, Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Plumbing
r,. %%/ , /,. .. .l ./,/r c,� ui<�:ia, ,,,,e,,,:. ,%O%r r,i r /r r /rn._ / / r .
// ,i. /// ��r /%/ r/i,,. /// of .a/%/-�,i r rr� /,/� /i��z�„!�. Vii,,.
, {� ,/ ,/ „ / ,,,��/ „/ ;/ ;ice, r
// / do/. ./., �i,/ i. // i
Address: 3380 Ironwood Ave Port St. Lucie FL 34952
Property Tax ID#: 3425-703-0358-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Taylor
, /0 �//0'//411,v,0..4N/��/j/�/ /, 4,/ ////%/ /� � //��'�/ / i/,, / /�,
���/
„//%,>%�;/% /// 1U/ ;i% %!%%/, i� � r i�� i,✓// r�„�j��/�i
Remove existing tub and install New Walk in Tub. No tile or dry wall work being done
----- --- it
/, 7/iai/„ /,//4 i// /i , //4�/ r j�,.,/. . r /�/ �./ i447 ��/i
7 / �///
� STRU , NFO , ,A1///,',/ , i/ 1, �/r ; / / // /4
y % % ,r,, % //i%a / iRG/ L,% . ;,, /% ////// ,,/,r : , , ,, / , / i 4,44/d / .,r
„
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:
carr„r,-.,u, „ r / ,.. ,r, :.,..„/i r r„i.,a,.,irci„ z�// /, ,,,:... ,.i
: o� cam. ./ ,/, //,// ,/,�/ ✓�r o :rr, o// /
-r�� s / � / ,, /c �NT'RacT' '1/4/,"/// //
/, � oi„iii,,/i / // „ ,, � / ,,,,,,,,,, ,r, .
/:', ,,- -// ./ er/ /�/,��/�//�� „ �./ „j�/,,,,,f,'4,,7—/ /,,,,,. ,1.. / // / ///��i:
ii/i/ii,../i/�/rrl/�J//./ �//,_../r// r- �j/,,////% ,._... // !/fir c //_...�i, ./����/��%/,,�%/
Name Elizabeth Taylor Name:Mic_hael Coleman
Address:3380 Ironwood Ave Company:Prefab Plumbing Inc.
City: Port St. Lucie State:fL Address:1100 Carr St ,
Zip Code: 34952 Fax: City: Palakta State:FL
Phone No.772-785-8215 Zip Code: 32177 Fax:
E-Mail: Phone No386-546-7643
Fill in fee simple Title Holder on next page(if different E-Mail nngc1980@gmail.com
from the Owner listed above) State or County License CFC043003
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.
;I
r owe sir ,0/, /( /iiU o 4 �iiG////oiriiii/iiia/i //o///i/iii%%/%///%o//�/ri%iy%im//ai// i
/ /7//„./,74:;„,/ a//�� ii/////� airi%1/AS.K4/%iii /ri/i/ooDl�� it / / �//, 44, /�i
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 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 I AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Les a/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO A,�� STATE OF FLOg1DA
COUNTY OF /OW11 COUNTY OF _(,C)4/
The for oing instruognt was acknowledg efore me The for oing instru t w s acknowledge efore me
this J day of ,20/ by this day of 20/ by
/ /�A, rJ—? iy/oy )U 1 C4414 _� 0J tc�-- I/'
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known (/ OR Produced Identification
Type of Identifi . '. Type of Identificat'.
Produced 'I Produced
•
/(Signature . ? =•• .li.,-;.• PLC6faiii610f6rida ,(Signature of N. v: ° :• .
r+ ^ KATHRYN POCKER otary Public State of Florida
Commission +s� 'oa.°` MX Commission G�@9� 22 4 1 KATHRYN POGKEl.1
or r4 ° p+res 11/21/202 Commission No.. my Commission da $ 422
o Expires 11/21/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
� I