HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/23/201 Permit Number:
Building Permit Application
Planning and DevE lopment Services
Building and Code Regulation Division
2300 Virginia Aver ue, Fort Pierce FL 34982
Phone: (772) 46 -1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE PIUmbing
PROPOSED IMPROVEMENT LOCATION:
Address: 145 Norlheast Prima Vista Boulevard
Property Tax ID #: 3419-540-0027-000-9 Lot No.27
Site Plan Name: Block No. 43
Project Name:
DETAILED DESCRIPTION OF WORK:
Reroute collapsed sewer line for kitchen and laundry to main sewer line in yard. Aproximately 25 developed feet with mechanical
vent at laundry and kitchen sink. 3" branch tied in to 4 " sewer with wye connection.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Con truction: 25 Sq. Ft. of First Floor:
Cost of Constructi n. $ 900.00 Utilities: —Sewer —Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGrowever investment
Address:5047 N
City: Fort Pierce
Zip Code: 34949
Phone No.
E-Mail:
Fill in fee simple
from the Owner
LLC
Name:James Slnclair
AlA #1004
Company: Mr Rooter of the Treasure Coast
State: Pt
Fax:
Address:534 Nw Mercantilw PI, Suite 119
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No772-236-7300
ritle Holder on next page ( if different
isted above)
E-MailJames.mrrooter@gmail.com
State or County License CFC 14 2-15 ( VLI
If value of construct is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $b,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State:
Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE
Name:
Address:
City:
Zip:
HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Phone:
Zip: Phone:
OWNER/ CONTR CTOR 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 ma es no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict ith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please cor sult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration oft ie granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with t e approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following buildir g 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 TOOWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR 1 PROVEMENTS 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."
M
of Owneif/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF -=>I-
The forgoing instru ent was acknowledged before me
this 44 day of �' 20AI by
Name of person m4kirig statement.
Personally Known
✓OR Produced Identification
Type of Identification
Produced
(Signature of Notaiy
Public- Stat �#'R RNWO L BEN
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c NotP
7C)4 C� = Commission #► FF
Commission No.
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'., . . )my Comm. Expires Irh
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SignatLhe of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 5+- Lvc.c.C,
The forgoing instrument was acknowledged before me
this &LL day of �� �b E4 204 by
Name of person making statement.
Personally Known l/ OR Produced Identification
Type of Identification
Produced
KRISTEN L BENSI
Notary Pub1iC - Sta` eJ
re of Notary Public -
ion N � � qo4ag
REVIEWS RONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
C UNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED