HomeMy WebLinkAboutPermit - 332 Ashley St - signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- 'J. .-
`- — Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 332 Ashley St
Legal Description: REPLAT OF PALM GARDENS BLK 5 E 78.8 FT OF LOT 10 AND W 10.6 FT OFLOT 11 (0.22 AC) (OR 773-579; 3203-2751; 4077-1429)
Property Tax ID #: 3403-802-0067-000-5 Lot No
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Shower pan replacement
laitional worK to be
1JHVAC
11 Electric
errormed
unger tnis permit— check all that apply:
Gas Tank []Gas Piping 11 Shutters Q Windows/Doors
Plumbing Sprinklers I Generator 0 Roof
0
Total Sq_ Ft of Construction: __..
Cost of Construction: $ 795.00
S Ft_ of First Floor _
Utilities: Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edith Johnson
Name. Reed Sudderth
Address: 332 Ashley St
Company: CRS Plumbing
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No_ 772-672-4749
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: erspiumbing@bellsouth.net
State or County License: CFC1426853
It value of construction is 52500 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:
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 recording vour Notice of Commencement.
v I s
_ Signa re of Owner/ Lessee/Agent Sign re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF st Lucie
The forgoing instrument was acknowledged before me
this 20 day of 4 U$ i , 20 [ —by
Edward D. Jandon
(Name of person acknowledging)
9"llb
9�4j-
(Signature of Notary Pub c- State of Florida )
Personally Known ✓
Type of Identification P
Commission No.
Revised 07/ 15/2014
STATE OF FLORIDA
COUNTY OF s+wae
The forgoing instrument was acknowledged before me
this Zy day of 'U IJ , 20 1� by
Edward D.Jendon
(Name of person acknowledging ]
(Signature of Notary Pu li - State of Florida )
Personally Known ✓
Type of identification Pr Notary Pudi; d
ward D Jendon
:Edward D Jendon M Cor
L ortfta*n GG 178514 Commission No. � E pyresX 22GG 17$§14
es 05/1 SM22
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