HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 10M.
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 TYPE: Plumbing: Water Heater Change Out
PR VEMEN-T�,.,'LOCATION;;,-�',,,'�'
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Address: 2408 Holiday Court, Fort Pierce, FL 34982
Property Tax lD#: 2421-605-0028-000-8 Lot No. 5
Site Plan Name: Block No. 4
P roject Name: Reid - ST Lucie Housing 6 Rehab
DETAILED DESCRIPTION
Water Heater Change Out lsic I
,,CQN5TROCTION,,,IN,FORMA,.,',ION,..
ditional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tank Gas Piping — Shutters Windows/Doors
— Electric X Plumbing Sprinklers — Generator Roof
tal Sq. Ft of Construction: 1,820 sqft Sq. Ft. of First Floor: 1,820 sqft
stof Construction:$ 1-4-00-00 Utilities: —Sewer _Septic Building Height:
Pitch
1P LES E
RA
!Name Barbara Reid
Name-. CRAIG MOBLEY
Address: 2408 Holiday Court
City. Fort Pierce, FL State:
Zip Code: 34982 Fax:
Phone No. 772-468-3209
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
Company: SOUTHERN PLUMBING, INC.
Address: 4069 43rd Ave
City: Vero Beach State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No 772-564-6980
E-Mail southernsvc@aol.com
State or County License RF0067100
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name: _
Address: _
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: xNot 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 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
improvemgnts to your property. A Notice of Commencement must be recorded and posted on the jobsite
before a first inspection. If you intend to obtain financing, consult with lender or an attorney before
coml-069rng work or recordin our Notice of Commenceme .
s
_ Sigiattrreyf Owner//Lessee/Agent
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
this 2—SNay of l S i- 20 jgby
C V a i q 1k b)e>
NameIof pers6 acknow dging )
Signa re of Notary Public- tate oYH<! rida )
Perso ally Known OR Produced �Idenbfn
Type of Identification Produced
nse Holder
STATE OF FLORIDA
COUNTY OF INDIANRIVER
The forgoing instrument was acknowledged before me
this Z.q day of R S1- 201_ by
(Name
of Notary Public:
Persdnally Known " OR Produced Identification
Type of Identification Produced
Commission No. C 4v%,� (9eab)y Public State of Flord C mission No. 1 1 ` �'-�(Seal ry public state of FloridKristin Kylie Webb r° Kristin Kylie Wegb
a My Commission GG 177256 N , My Commission GG 177256
cr �'12 +�o� r►° xpues
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS