HomeMy WebLinkAbout7081 Torrey Pines Cir permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 (� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Xc
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT
ENT LOCATION:
Q
Address: Q i .. 1 cc -4- ' L) .._ _ C 1 C J C�
Legal Description:
Property Tax ID#:_��i' �i��i -_ O�t�-. Lot No. i7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional wor to e er orme un er t is permit c ec a a apply:
0HVAC Gas Tank OGas PipingShutters Windows/Doors
Electric %` Plumbing Sprinklers D Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
OSeptic Height:
Cost of Construction: $ % Utilities:Sewer Building
OWNER/LESSEE: CONTRACTOR:
Name
Name: JOSEPH F TULLY
"
�� � t'C��=3 �'�! �
Address.:, 1'�n
Company: GENESIS PLUMBING SERVICES ING
Address: 1532 SE VILLAGE GREEN DRIVE UNIT B
City: , F,_� State:_.
City_ PORT ST LUCIE State: FL
es.
Zip Code: If Fax:
_7�461S'
Phone No. �� , — 11
Zip Code: 34952 Fax: 772-335-2680
E-Mail: 1�' (
772-337-3682
"Cr
Fill in fee simple Title Holder on next page (if fferen
E-Mail; genesisplurnbingservices@gmail.com
from the Owner listed above)
State or County License: CFC1429103
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE FOLDER: —Not Applicable
BONDING COMPANY: Not 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 Horne Owners Association bylaws
rules, 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 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 Owner - see Contractor as Agent for Owner _
gnature of Contractor/License older
STATE OF FLORIDA F ,.
STATE OF FLORIDA -
COUNTY OF 4'
COUNTY OF ;
Thefore instrument was acknowledged before me
this.. 'jc)a�y `
Theforgoing instrument was acknowledged before me
of . 20 aby
this L'�day of l� 20�i_._. by
(Name of person acknowledging }
(Name of person acknowledging)
'(Signature of !Votary Public- S ate of Florida) `
(Signature of Notary Public State of Florida) '' 1"
' Sti61Hl�,
Personally Known sa,.•T� t P r MRM AekPtFffcAZ
Personally Known ,+t"""'�}� Pr �q ei t&Tedi4tRi r
t',
Type of Identificati ' r Commission # GG 97150
Yp ail
Type of Identificati _ Ei Commission # GG 9715p
y uommission tixpires
Apri 24 �Q21
Commission No. """""
ms �.` my cZimmission Expires
Commission No. ''��,,, April gA 021
,t
Revised 07/15/2014
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