HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: (— 1-7- 1 1 Permit Number:
RECEIVED
Building Permit Application SEP 17 20
19
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential res
PERMIT TYPE:Plumbing
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Address: 7913 Meadowlark LN
Property Tax ID#: 3425-706-0211-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Clifton
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Remove existing tub and install a new walk in tub no tile or drywall 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
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_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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NameGlenn Clifton Name:Michael Coleman
Address:7913 Meadowlark LN Company:Prefab Plumbing INC
City: Port St Lucie State:_ Address:1100 Carr ST
Zip Code: 33452 Fax: City: Palatka State:FL
Phone No.772-336-3992 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.
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No?.�/ $5/311 i
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 thepermit 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa f Owner/Lessee ont a r as Agent for Owner Signature of Contractor/License Holder
STATE OFF STATE OF FLORIDA
COUNTY 0 , _ COUNTY OF A_c N1 AfJ/�'
The fpAping instr nt a ack�ledge efore me The f r ping instrum nt was ackn wledge efore me
this day of by this T day of 20by
Name of person making statement. Name of person making statement.
Personally Kno �Oduced Identification Personally Known OR Produced Identification
Type of Ide If
atio Type of Identification
Produce �� Produced
a s, ate
(Signat a of ar P li e pWWA%).State of Florida (Signature _t P 1 s o 22
KATHRYN POCKER "jF"` Expires 1112112020
Commission o. ,. „Q My Co n GG 049422 Commission
ori ExpiresT2/ 112020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.