HomeMy WebLinkAboutSOUTHERN PLUMBING PERMIT APP 5-6-19ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:—�Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION: ,
Address: 4I o � 1: y'l VL_
✓
Legal Description: b1iJaU 1JLl e , P}I k>_
Property TaxID#:�L QVC
Site Plan Name:
Project Name: ly(�T
Setbacks Front Back
DETAILED DESCRIPTION; OF
-WQ_ WI I I 1 n' -+O_(
V Right Side: Left Side:
WORK:
l a �-f') �c�llorl eieC�
IC U'At-ex
V
Lot No.i
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Namesm C
Name: CRAIG MOBLEY
Acclitional work oe performed under
t is permit - check
all t at app y:
Address: 406943RD AVENUE
I
❑HVAC
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: SOUTHERNPLUMBING@AOL.COM
Gas Tank
E]GasPiping
_Shutters
Windows/Doors
Electric
Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ IU 00 , dQ
UtilitiestSewer
0Septic
Building Height:
OWNERAESSEE: -
CONTRACTOR:
Namesm C
Name: CRAIG MOBLEY
Address; [ ti
Company: SOUTHERN PLUMBING, INC
City: �' State:
Zip Code: 3qq—�:, I Fax:
Phone No.
Address: 406943RD AVENUE
City; VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No, 772-564-6980
E -Mail;
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: SOUTHERNPLUMBING@AOL.COM
State or County License: RFOO67100
14 gcavv or more, a ncwnutu rvorice or commencement is required.
x Not
Name:
Address:
City; State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name: _
Address:
City:
MORTGAGE COMPANY: x Not Applicable
Name:
Address: _
City: State:
Zip: Phone: _
BONDING COMPANY: x Not Applicable
Name: _
Address:
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 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 jobsite
beforA,trye first inspection. If you intend to obtain financing, consult with lender or an attorney before
comcrfedcine work or recordinfa vour Notice of Commencemenfe
_`ijgrrLUwe 91T Owner/
STATE OF FLORIDA f
COUNTY OF NOM RIVeR
The forgoing instrument was acknowledged before me
this (b " day of ty"i ooi + 20 3,by
Holder
STATE OF FLORI
COUNTY OF INolAI
The forgoing instrument was acknowledged before me
this 6'dayof May 2019 by
(Name of
IS=rsonay
taryPubli/c- State_cf`FladSi,� =own
Notary
,Public- State arida)
Pen ✓ OR Produced Identification � OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �,., ftn sea{i6ryPublic Sate of Flo icGo Isslon No. ��� ( ,y public State of Fbrid:
TT��,, Kristin Kylie Webb +a Kristin Kylie Webb
My commission GG 1772 6 �, a My Commission GG 177256
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS