HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �_�� 0
Date: �' Permit Num
3
. . , �� AUG 21 2019
_µ . ., .._,_,µ�a Building Permit AppI &cfflagtting Department
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMITTYPE:Plumbing
Address: 1600 NW Buttonbush Cir Palm City FL 34990
Property Tax ID#: 4426-840-0002-000-4 Lot No.
Site Plan Name: Stein Block No.
Project Name: Stein
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Remove existing tub and Install New Wsalk in Tub No tile or dry wall work being done
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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: $ 1700.00 Utilities: —Sewer —Septic Building Height:
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NameAlfred Stein III Name:Michael Coleman
Address:1600 NW Buttonbush cir Company:Prefab Plumbing Inc
City: Palm City State:_ Address:1100 Carr St
Zip Code: 34990 Fax: City: Palakta State:FL
Phone No.772-260-5488 Zip Code: 32177 Fax: ”
E-Mail: Phone No 386-546-7643
Fill in fee simple Title Holder on next page(if different E-Mail mgc1980@gmail.com
from the Owner listed above) State or County LicenseCFC043003
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.
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 YOUR LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signat r of Owner Lessee/ ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF
COUNTYOFO`l- ��� COUNTY OF STATE OF Mt6Wm/M
The forgoing instru nt was acknowledge fore me The f r oing instrur ent as acknowlecig efore me
this�day of 20y this day of 20 by
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Name of person making statement. Name of person making statement.
Personally n 0 duced Identification�� Personally Known OR Produced Identification
Type o entific, ion l l Type of Ide ication
Prod ced / C� Produce
oar aNotary Public State of Florida
= THRYN POCKER '
.; My ommissian GG 04@422 r State of Florida
(Signa a of o t a P e o ori (Signa re -f v Sbatf I GG 04
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pi�aF�mo' Expires 11!21/2020
Commission (Seal) Commission No. ��A�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _T
COMPLETED
ev.2/7/19