HomeMy WebLinkAboutBarger - 14020 Isla FloresALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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
PERMIT APPLICATION FOR: Plumbing
Address: 14020 Isla Flores- Fort Pierce, Florida 34951
Legal Description:
PropertyTax ID ft:
Site Plan Name:
Project Name:
Setbacks Front Back:
Commercial Residential x
Right Side: Left Side:
Install customer supplied 30 gallon electric water heater.
�HVAC � Gas Tank
Electric Z Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 534.39
nu — ulecn an apply;
Piping _Shutters
nklers Generator
_ Sp}—�Ft. of First Floor: _
Utilities: Sewer Oseptic
Lot Na.
Block No.
Windows/Doors
gRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paula Barger
Name: Gary Ga W. Evers
Address:14020 Isla Flores
Company: First Quality Plumbing
City: Fort Pierce State: FL
Zip Code: 34951 Fax; n/a
Phone No, 856-448-2886
Address: 746 N. Volusia Avenue
City: Orange City State: FL
Zip Code: 32763 Fax: 321-610-3919
Phone No, 321-253-3939
E-Mail: n/a
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
If v�liiu of rnnclV1FPt; n it Cienn ..
E-Mail: palmbayservice@fgpluming.com
State or County License: CFC050566
AL
City: State: _
Zip:
FEE SIMPLE TITLE HOLDER: -X Not Applicable
City:_ --_.—
Zip: Phone:
hV1iiV1Al IgNt
MORTGAGE COMPANY; _ _Not Applicable
Address:
City: _ State:
t30NDiNGCOMPANY: XNot Applicable
Address _ -
OWNER/ CONTRACTOR AFFIOVIT: 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,
is 10 coNicctt with anrepresentation
applic ble Hothat
e Owners Associations rules,bylawsCpethe
landcovenants that may relstrsubject
ct of prstructure
l flit 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 pernft 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 intent) to obtain financing, consult with lender or an attorney before
commencing work or recording- our Notice of Commencement,
r-- „-
as Agent for Owner Signature of Contractor/License Holdef
STATE OF FLO DA STATE OF FLORIDA
COUNTY OF_ Y' ALLJ 6'(,� COUNTY OF___ >(r.K/�
The for Ing instrument was acknowledged before me
Name of person t ing stab' ement — y
Personally Known _ OR Produced Identification /\
Type of Identification
Produced Df.(
of
Commission
REVIEWS I FRONT I ZONING
COUNTER RC:VIEW
Rev.
The forgo. lye Instrum
ill was was knowiedged before me
ihis��day nr_..IO G��t ,z0l al hY
Fd
fJameo perso�n king statement
Personally Known >�.. OR Produced Identification
Type of identification
d
Commission AJo. _: _'e M_ Y COMMIS(9ENrj�f FF9797F2
EXPIRC•3 Apri108, 2020
NS
SftEVREWOR REVIEW_ �VREVIEWON SrA
VI WLE MREVCWVF