HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: Permit Number:
COUNTY
- 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 X Residential
PERMIT TYPE:PLUMBING
,PROPOSED IMPROVEMENT LOCATION:
Address: 7324 COMMERCIAL CIR
Property Tax ID#: 1335-801-0043-000-4 Lot No.7
Site Plan-Name: Block No. D
Project Name: TRUE STONE MASONARY
,.D.ETAILED DESCRIPTION O'F WORK:
MOVE EXISTING SINK TO MAKE BATHROOM ADA.RUN DRAIN&WATER LINES IN WALL TO LOCATION OF NEW ADA WATER COOLER
F,C-_0NSTkUCTION INFORMATION:
Additional.work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ .�0� Utilities: —Sewer —Septic Building Height:
PMERAESSEE: CONTRACTOR:.
Name TRUE STONE PROPERTIES LLC Name:ROBERT W.LUDLUM
Address:3207 SE SOUTH LOOKOUT BVLD Company:AQUA DIMENSIONS PLUMBING SERVICE
City: PORT ST LUCIE State: rL Address: 1651 SW SOUTH MACEDO BLVD
Zip Code: 34984 Fax: City: PORT ST LUCIE State:FL
Phone No.772-344-8433 Zip Code: 34990 Fax: 772-343-7418
E-Mail:LISALESTER@AQUADIMENSIONS.COM Phone No 772-344-8433 .
Fill in fee simple Title.Holder on next page(if different E-Mail LISALESTER@AQUADIMENSIONS.COM
from the Owner listed above) State or County License CFC057526
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 UR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTICE OF CO MENCEMENT."
Signafure.q wp �/L ssee/Contractor as Agent for Owner Si nature of Co ac or/LIC nse Holder
STATE OF FLORIDA S�- STATE OF FLORID, �v //
COUNTY OF � _l)'Clam. COUNTY OF ()t !_0CI e-
The forgoing instrument was acknowledge sc((before me The for oing instr ff7t was acknowledge before me
this_Mday of 20 l`3 by this 6 day of I 1 by
-� _U V � 40 IDS ROBERT W.LUDLUM
Name of person making statement. r „ ' Name of person making statement. • N
Personally Known_ OR Produced Identlaaf- Personally Known x OR Produced Identification
Type of Identification M 0 N �z Type of Identification m n
Produc i O D Produced y
m m ma
v00 � (n 00 �
(; 'n _D --IO � '0
N � -1C m ft
(Si'gnitdre of Notary Public-State of Florida) iu O r 0 F
o A (Signature of Notary Public-State of Florida) T 0
N v i7 N v V
Commission NoG C I DQ (Seal)" D Commission No-GC 070 7 (Seal) A
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
RECEIVED
DATE
COMPLETED
ev.
2/7/19
1