HomeMy WebLinkAboutBuilding Permit Application Sep 1819,08:50p Genesis Plumbing 7723352680 p.2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 912 9 Permit Number: l
., _-. .: •,_:; . RECEIVED
" SEP; 2019
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (7721462-1553 Fax:(772)462-1578 CommerciaLv4, Residential X
PERMITTYPE: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6600 S Ocean Dr 603, Jensen Beach FL 34957
Property Tax ID#: 3534-502-0027-000-5 Lot No.
Site Plan Name: - Block No.
Project Name:
FETAILED'DESCRI.PTION..OF WORK:
change out shower valve and shower pan in guest bathroom
CONSTRUCTION INFORMATION:
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:$ 1200.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James and Carole O' Brien Name: Joseph F Tully
Address:7321 Wildwood Dr Unit#9 Company: Genesis Plumbing Services
City: Brookfield State: Address:1532 SE Village Green Dr Unit B
Zip Code: 44403-9612 Fax: City: Port St Lucie State:FL
Phone No.(772)285-0613 Zip Code: 34952 Fax: (772) 335-2680
E-Mail: - Phone No (772)337-3682
Fill in fee simple Title Holder on next page{if different E-Mail genesisplumbingoffice@gmail.com
from the Owner listed above) State or County License CFC1429103
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.
Sep 1819,08:50p Genesis Plumbing 7723352680 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF.ORMATIOW.
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: _Nat 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,l 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of Owneecj Contractor as Agent for Owner gnature of Contractdr/Licenses dl&r
STATE OF FLORIDA�, . STATE OF FLORIDA
COUNTY Of :` -F (. '�L'%0 � COUNTY OF
The for ing instru t vNas acknowledgerf h ore me The for oing instrument was acknowledged before me
this day of �_ , , 20 y this )a�y of 20 by
(Name of person acknowledging-) (Name of person acknowledging)
(Signatufe of Notary Public-State of Florida) of Notary Public-State of Florida)
Lull
Personally Known ��'.+w� j Prd ARWee4#"kAgAz Personally Known .�;dfi Prq �dlt�eMtP is
Type of IdentificatH ion#GG 97'S Type of ldentiBcati °o `P1 commission#GG 9715
<, y Commission Expires o. - My commission xPire
Commission No. "9�1 Apif 2A, 2021 y�;;;�+n Apill 021
Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR 'PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS