HomeMy WebLinkAboutBuilding Permit Application 07/2512019 13:25 DAVE'S PLUMBING TAR)772 288 7127 P.0011003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ri�a�la� J� Permit Number:
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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
PERMIT APPLICATION FOR: Plumbing
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Address: J U L4At1 VI5tQ0. EyWj U6ft I DG ��•� � c�
Legal Description:
Property Tax ID#: 0�1,�5�+ �o1,�c — �Q Lot No,
Site Plan Name: Block No.
Project Name: Gl O
Setbacks Front Back: Right Side: Left Side:
11 �I '.+► dF �)' •.f',:,Y.r Z11h-.U.. C. :1..:Y Y'FI'J:j',�•
%5+o ,L boles i n s h aver) n,rUL) shouter Vv-e, move..
rpGumb�rtig
-FCC neu_) �.�n • �r,s� �hu�dim,
" :lT rl:o:rvrt�,l®rme-
1(Q�{'Y:Ona wor •o e under is perms —c ec a appy:
HVAC n Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Q Plumbing Sprinklers Generator g Roof Q Roof pitch
Total Sq.Ft of Construction: 50.Ft.of First Floor:
Cost of Construction:$ 5d��Q Utillties:0Sewer OSeptic Building Height:
4101.�;�
Name Name: DAVID HUSNANDER JR
Address- Company: RAVES PLUMBING INC.
City; Stater Address:498 BE SEVILLE ST _
Zip Code � a, Fax• City:STUART State:FL
Phone No. �a' �"01�� Zip Code: 34994 Fax: 772-288-7127
E-Mail: _ Phone No. 772-257-8128
Fill in fee simple Title Holder on next page(if different E-Mail: DAVESPLUMBING499@HOTMAIL.COM
from the Owner listed above) State or County License: CFC051625
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
0712512019 13:25 DAVE'S PLUMBING (FAX)772 288 7127 P.0021003
SURPIEM111 1113N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY., Y 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:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Couh make no representation that Is granting a permit will authorize the permit holder to build the subject structure
I an licable Home owners Association rules,bylaws or an covenants gist may restrict or prohibit such
which is In conflict with ��pp e a ri
structure.Please consult w t your Home Owners Association and review your dead 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,
accessary structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING70 OWNER:Your failure to Record a Notice of Cornmentement may result In your paying twice for
improverne.nts to our pro A Notice of Commencement must be recorded and posted on the jobsite
before the ' ins e ou Intend to obtain financing,Co th I an attorney before
comm in work re In our Notice of Commenc nt.—
S
SI-g"Mu–re ofl7w-ner/Lessee/c6htractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Mp n4i`r1
The forgoing instru t was acknowledged before me
The for ung Instru t icknowledged before me 031 'ay
of 2;n
thls�Nay of ylM MY this UJA4 20 II by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State ofol rida (Signature NaNida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
A.Doreen Langford
Commission No. Y SORARY PUBLIC commission No. Aflffi�n Langford
STATE OF:FLORIDA NOTARY PuEiUC
STATE()F"RIDA
Expire$ 12/8/2020 COM GG043591
Revised 07/15/1014 Expires 12/8/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE'
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS