HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4123119 Permit Number:
s - J ;.
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 XXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION_
Address: 162 U Vista Ct
Legal Description: 7 35 40 W 112 OF S 150 FT OF N 460 FT OF W 183.05 FT OF E 388.05 FT OF W 560 FT OF NW 114 OF NE 114 OF SW 114 (0.32 AO) (OR 33392977)
Property Tax ID #: 2407-312-0009-010-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Replace existing 40 gal electric host water heater
Lot No._
Block No.
mitionai worK to oe ertormea unaer tnis permit-- cnecK ailt apply:
11HVAC Gas Tank []Gas Piping M
Shutters E]Windows/Doors
11 Electric Plumbing Sprinklers Generator FI Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1049.00
S Ft. of First Floor: _
L)tilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Brunilda Meadows
Name: Reed 5udderth
Address: 162 U Vista Ct
Company: CRS Plumbing
City: Fort Pierce state: FL
Zip Code: 34947 Fax:
Phone No. 321-323-6108
Address: P.C. Box 12755
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-460-7774
phone No. 772-466-7763
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: crspiumbing a@bellsouth_net
State or County License: CFC1426853
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 vour Notice of Commencement.
� s
of Owner/ Lessee/Agent Signa a of Contractor/License Holder
STATE OF FLORIDA
COU NTY OF s—
The forgoing instrument was acknowledged before me
thisA3 day of APO- 20 j�_by
Edward D.Jendon
(Name of person acknowledging )
(Signature of Notary Pui State of Florida }
Personally Known xxxx O r u I n ifc ti
Type of ldentificatiF?J1J ` cce
Commission No.78514
Revised 071155/2014
STATE OF FLORIDA
COUNTY OF st-
The forgoing instrument was acknowledged before me
this 23 day of Aef, , 20 i�' by
Edward D.Jendon
(Name of person acknowledging)
(Signature of Nota Pu lic- State of Florida )
Personally KnownXXXX
l�A1d
Type of Identification Pr riot®ry Public Stale of Florida
war
t y r My commissi n GG 178514
Commission No. Expires( 89022
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