HomeMy WebLinkAboutPermit - 926 Fra Mar - Unit 4 - signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/15/19 Permit Number:
COUNTY
E' 1 O R 7 d P
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 4
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:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No_
Move water meter line to new meter that is installed on property. Existing line was run onto the
adjacent property.
Iditional work to oertormed under this permit — check all teat apply:
❑HVAC n Gas Tank ❑Gas Piping ❑_ Shutters ❑ Windows/Doors
❑Electric ✓._Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 650.00
S Ft. of First Floor: _
Utilities:Sewer ❑ Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Segundo .i 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: crsplumbing@bellsouth.net
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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 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
before the first inspection_ If you intend to obtain financing, consult with lender or an attorney before
commencing Work or recoraing your Notice OT C.ommencemeni.
r
LA_f�"_
_ Sig ire of Owner/ Lessee/Agent Signatd:rh of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sc—
The forgoing instrument was acknowledged before me
this � day of P, 20 ( i by
Edward D.Jendon
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF scree
The forgoing instrument was acknowledged before me
this S day of May , 20 LL by
Edward D.Jendon
(Name of person acknowledging)
(Signature of Notary PubV State of Florida } (Signature of Notary Pu 11 - State of Florida)
Personally Known +" OR Produced Identification
Type of Identification P
.►N' " Notary Public State of Florida
?r
COmmi551Commission No. Edwatiny Co mis �noon
m GG 178514
�i W!dl Expires 05/19/2022
Revised 07115/2014
Personally Known ✓ I' d I e -fi a i
Type of Identification Pr U
;P Edward D Jendon
Commission No. My Com GG 170514
R EYpwea 05119411122
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