HomeMy WebLinkAboutBuilding Permit Application i
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AIII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q /1
Date: Permit Number: Cl
d 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:PI u m bi ng
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POSED FAO, E e�C�T� / ell
Address: 5861 Travelers Way Ft Pierce FL 34982
roperty Tax ID#: 3410-503-0075-000-8 Lot No.
Site Plan Name: Block No.
roject Name: Morgese
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Install Walk in tub in existing shower area No Tile or dry wall 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
_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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Name Michael P Morgese Name:Michael Coleman
Address:5861 Travelers Way Company:Prefab Plumbing Inc
City: Fort Pierce, State: Address:1100 Carr St
Zip Code: 34982 Fax: City: Palakta State:FL
Phone No.772-465-9162 Zip Code: 32177 Fax:
E-Mail: Phone No386-546-7643
Fill in fee simple Title Holder on next page(if different E-Mail adampocker@gmail.com
from the Owner listed above) State or County LicenseGFG043003
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: _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:
ddress: 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 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 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."
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Signatu e o Otivner essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO���fi` STATE OF FLOR�D�4 �� n A
COUNTY OF (`/'""W l� COUNTY OF ( �
The forgoing instr ent fas acknowledged before me The for�p ing instru ent w s acknowledged-before me
this�day of 20 by thud' day of 20 by
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Name of person making staternerk Name of person making statement.
Personally OR Produced Identification Personally Known R Produced Identification
Type of entification Type of Identif' tion
Prod ed �� Produced
Si na a ci ota li of4P1�YiE�`7 c state or Flan
g ry = (Signature o oK�it MIS)POCKE-F
KATH POCKER N e My Commission GG 049422
< my Commission GG 049422 y
Commission o. Expire49eEdj12020 Commission No. "Iota Expires 1Mlla 20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19