HomeMy WebLinkAboutPermit - 926 Fra Mar Unit 3 - signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5115/19 Permit Number:
CC>Ur"4TY "
-L P. R I D A _.
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 XXXXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 926 Fra Mar PI Unit Unit 3
Legal Description: WAGNER S/D BLK 2 LOT 31
Property Tax ID #: 2427-702-0073-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No_
Move water meter line to new meter that is installed on property. Existing line was run onto the
adjacent property.
Jaitional worK to 13 rtormea under tnis permit— cnecK air apply:
OHVAC L_J Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric Plumbing Sprinklers ElGenerator E] Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 650.00
Sq, Ft. of First Floor: _
Utilities: Sewer U Septic
Building Height;
OWN ERAESSEE:
CONTRACTOR:
Name Segundo J Cordova
Name_ Reed Sudderth
Address: 1108 W 1st St
Company: CRS Plumbing
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Address: P.O. 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: crsplumbing aabellsouth.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:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
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 Horne 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 retarded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinE work or recordin>? vour Notice of Commencement_
s
_ SignEWure of Owner/ Lessee/Agent Signat6fe of Contractor/License bolder
STATE OF FLORIDA
COUNTY OF s—i-
STATE OF FLORIDA
COUNTY OF st - i-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ,_.__.-,- day of r1AY , ZD J!�_by I this S day of t lA-( , 20 L?_ by
Edward D.Jendan Edward D.Jendon
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pu " - State of Florida) (Slin,ture of Notary P c- State of Florida )
Personally Known fry P o'
Type of identification Pr u�
� Edward D Jendon
Commission No. + My CQ}�}pon GG 176514
'� Expirds OSIi9►2022
Revised 07/15/2014
Personally Known ✓
Type of Identification P dugaa laid.
Edward €3 Jendon
Commission No. + - , My cam GG 17a514
of F_xpires�D22
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