HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: C(/
� RECEIVED
I ►
Building Permit Application Nov. 22 1019
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 X
PERMITTYPE:Plumbing
r ri//// / /% ! /✓ %/O %,,,./// ///%�,///rri /ii/L�,�r,i/,/ %i�r �i�/ /moi,i/% / "i w/ r
Address: 396 Tropical Isles Cir#H-25 Fort Pierce, FL 34983
Property Tax ID#: 3410-508-0205-000-4 Lot No.H-25
Site Plan Name: Culver Block No.
Project Name:
. i'':9
i
��/%/////i//y/ii�, ��/��//„
Remove existing tub and Install Walk in Tub No the or dry wall work being done
/ i//// ireiii /�/�iiji
///
�
/ii//
'
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:
.,, ,
,/
Name James A Culver Name:Michael Coleman
Address:396 Tropical Isles Cir Company:Prefab Plumbing Inc
City: Fort Pierce State:_ Address:1100 Carr St
Zip Code: 34982 Fax: City: Palakta State:FL
Phone No.772-460-0974 Zip Code: 32177 Fax:
E-Mail: Phone Nol-7 � -9?(a
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.
i
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
i
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."
Signat re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF
COFLORI � STATE OF UNTY C _ D
Ai AAv COUNTY OF ORIns �� � /\
The for pines instr m,nt wJ a�acknowledged fore me The fo �* instr n was cknowledge efore me
this day of 20y thisaflay of N , 20by
Name of person making statement. Name of person making statement.
Personally Kn OR Produced Identification PersonallyKno OR Produced Identification
Type of I ntification Type of Ide ication
Produc d i / Produced
ry Public Stets of Florida of
Signatu o - ary ��GG U9422 Signat re f ary � 2.0,s
POCKER
a„'- Expires 11/21/2020Commission No. Commission No. o�.. E11S2e1/?p2o
d�11
i
REVIEWS FRONT ; ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1