HomeMy WebLinkAboutBuilding Permit Application i
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All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/7/2019 Permit Number: lCi�
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 xx
PERM(yIITTY■•PE:PLUMBINGgr _21
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Address: 8800 S OCEAN DR,#606
Property Tax ID#: 3535-603-0050-000-8 Lot No.
Site Plan Name: Block No.
Project Name: OLESZKOWICZ
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REPLACE SAME FOR SAME IN SHOWER-INSTALLING NEW SHOWER VALVE AND SHOWER PAN
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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:$ 1500.00 Utilities: _Sewer _Septic Building Height:
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NameOLESZKOWICZ Name:DAVID HUSNANDER JR
Address:8800 S OCEAN DR,#606 Company:DAVE'S PLUMBING, INC
City: JENSEN BEACH State: t Address:499 SE SEVILLE ST
Zip Code: 34987 Fax: City: STUART State:FL
Phone No.772-214-8135 Zip Code: 34994 Fax: 7722887127
E-Mail: Phone No 772-287-8128
Fill in fee simple Title Holder on next page(if different E-Mail DAVESPLUMBING499@HOTMAIL.COM
from the Owner listed above) State or County LicenseCFC051625
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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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: UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP S TO YOUR PROPERTY. A NOTIC MMENCEME MUST BE RECORDED AND
P D O T J BEFORE THE FIRST INSPECTI . IF YOU 1 O AIN FINANCING, CONSULT
YOUR NQ O N ATTORNEY BEFORE RECOR G YOUR N CE CO ENCEMENT.”
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Sign re of ner/Lessee/Contractor as Agent for Owner Sign a 6f-Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFMARTIN COUNTY OFMARTIN
The forgoing instrument was acknowledged+efore me The forgoing instrument was acknowledged J?efore me
this 7 day of AUGUST 20 ! by this 7 day of AUGUST 20,L"Yby
DAVID HUSNANDER JR DAVID HUSNANDER JR
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Produced Produced '
Notary Public State of Ffori Ja
I :u at McPeak
1 I J f�/� ► My Commission GG 27567
' I Expires 03/08/2023
(Signature of Notary Public- nature of Notary Publi S
f,.M"046 Notary Public State of florid NPote CPPion GG
ublikState of 5
Commission No. GG275671 `F weak
( mmission GG 275671 Co mission No. GG275671 • Myr ^'
•?� Expires 0310812023 ?�A Expires 03/08f2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.217/19