HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED {r��
Date: Permit Number: I'`Vm
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W _ d ......,......., µ._. _.r. 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 X
PERMITTYPE:PIumbing
Address: 5942 Alexandria Cir Ft. Pierce, FL 34982
Property Tax ID#: 3410-503-0253-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Yanchko
Remove existing tub and install a New Walk in Tub No tile or Dry wall work being done
Additional work to be performed under this permit—check all that apply:
_Mechanical �as Tank _Gas Piping _Shutters _Windows/Doors
_Electric V 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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NameAngeline Yenchko Name:Ralph Traniello
5942 Alexandria Cir North End Plumbing and Drains LLC
Address: Company: g
City: Ft. Pierce State:— Address:11192 60th St N
Zip Code: 34982 Fax: City: W.P.B. State:FL
Phone No.570-582-6971 Zip Code: 33411 Fax:
E-Mail: Phone No561-889-8074
Fill in fee simple Title Holder on next page(if different E-Mail thenorthendco@gmail.com
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.
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4/20
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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 YOUR NOT10E_0F COMMENCEMENT."
Slgna ure of er/Lessee/Co r as Agent for Owner Signatu e 6f Contractor/License Holder , •+off
STATE OF FLO ID�,y�� �11 STATE OF FLO�WgipA �9�y;
COUNTY OF Nu JYY_P COUNTY OF �/Q�Z/!� A Z
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The f t imeritwas acknowledge efore me The forgoing instrument was acknowledged efo i-Q
this day of 20by this day of 4,14 by N v Z g
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Name o person making Itatement. Name bf person making statement.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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