HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: la- 3 I9 Permit Number:
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
PERMIT APPLICATION FOR: Plumbing —�
PROPOSED IMPROVEMENT LOCATIONS
Address:
Legal Description:
PropertyTaxlD#: i3U -PTI-
Site Plan Name:
Project Name: �GYd
Setbacks Front Back:
IIIIIIJETWAIIII
Right Side: Left Side:
Lot No.)
Block No.
DETAILED DESCRIPTION OF WORK: -)
Alt c J/ 1 / rep/a & -f� HtIc tmTei
CONSTRUCTION INFORMATION:
Adoitional worK to r orme under
is permit-- c
a t apply:
1]HVAC
ElGasTank
❑Gas Piping
_Shutters
❑Windows/Doors
11 Electric
Plumbing
F-15prinklers
El Generator
Roof
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 1 �
Utilities:Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
5
Name: CRAIG MOBLEY
Address:.
S l
Company: SOUTHERN PLUMBING, INC
City: M RS&,_State:Al—
Zip Code:&.) L)-q Fax:
Phone No.
Address: 4069 43RD AVENUE
City: VERO BEACH State: FL
Zip Code: 32960 Fax; 772-978-9843
Phone No. 772-564-6980
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: SOUTHERNPLUMBING@AOL.COM
State or County License: RF0067100
-•— -•.�%• ,• •. a&�Vv ., ." ., a n=cU.Ucu vouce or commencement is requirea.
Is-
>;
Or "Ma
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
_
Address:
City,
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: x Not Applicable
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, 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 t first inspection. If you intend to obtain financing, consult with lender or an attorney before
corrinwohline work or recordine vour Notice of Commencements
STATE OF FLORIDA
COUNTY OF IND" RIVER
STATE OF FLORIDA
COUNTY OF INoIANRIVER
The fo ging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of MCMUC ✓ 20 Igby I this 3rd day ofI)CCe M b C ✓ 20 1'1 by
(Sigj:);,fure of Notary Put
PerCyJoonally Known
Type of Identification Prc
Commission No.
Revised 07/15/2014
(Name of
ng
of Florida ) I (Sign4f�jre`o[Notary Publate of Florida )
OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
of FkvWa
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