HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFdO�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` \ Permit Number: �� b��5
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.µ Building Permit Appl is tiorf PR 0 9 '019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division =---
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:PIumbing
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Address: 149 River Palm Dr Ft. pierce FL 34946
Property Tax ID#: 1408-703-0101-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Harmon
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remove existing tub and install new shower pan
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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 Harmon, Lynwood Name:Ralph Traniello
Address:149 River Palm Dr Company:North End Plumbing and Drains LLC
City: Ft. Pierce State:_ Address:11192 60th St N
Zip Code: 34946 Fax: City: W.P.B. State:FL
Phone No.772-465-9174 Zip Code: 33411 Fax:
E-Mail: Phone No 561-889-8074
Fill in fee simple Title Holder on next page(if different E-Mail
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO 1 COMMENCEMENT."
S' a re of Owner/Lesse /Cont ct r as Agent for Owner Sign tur of Contractor/License Holder
STATE OF FLOPDA STATE OF FLWQA
COUNTY OF COUNTY O
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The forgo' g instr• ent wa acknowledg efore me The forgoing instru ent was acknowledge efore me
this day 271by this day o 20 by
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Nam of person making statement. , f ame of person making statement.
Personally Known 0 Produced Identificationy Personally Known - OR Produced Identification
Type of Identificati Type of Identifica
Produced Produced
( ' natur - Signature li aQ &�8npe
Public a of Florida KER
OCKEl��� My Commission GG 04822
Commissi yo y ss,on GG 040tS2�1� Commissio N ��x I� , v 1/2020 heal)
�jwao Expires 11/21/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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