HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • X5- Permit Number: 1 1 V I
DEC 0 �0�9
Building Permit Application
Planning and Development Services
ST. Lucie County., Permitting
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:Plumbing
Address: 5841 HONEYBELL CT 36D Fort Pierce, FL 34982-3962
Property Tax ID#: 3410-507-0144-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Gannon
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Remove existing tub and install New Walk in Tub No tile or dry wall work being done
Additional work to be performed under this permit–check all that apply:
_Mechanical _G ank _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 George Gannon Name:Michael Coleman
Address:5841 HONEYBELL CT 36D Company:Prefab Plumbing Inc.
City: Fort Pierce State:_ Address:1100 Carr St
Zip Code: 34982 Fax: City: Palakta State:FL
Phone No.772-672-4380 Zip Code: 32177 Fax:
E-Mail:N/A 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 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.
FOR r/Effiffiffiffim/l/1's,
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:
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 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."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLO
COUNTY OF J52-Z(,jy9COUNTY OF
The f oing instrument was acknowledge before me The f rgoing instrumeryt was acknowledg�fl�before me
thi day of 4\A 0 0 20 by this day of��LLQ�I 201 by
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Name of person making statement. f / Name of person making statement.
Personally Known OR Produced Identification v Personally Known OR Produced Identification
Type of lde ' ' a ion Type of Identi ' ion
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Commission No. °'^ S1ea� Commission No. MY Co I�n0G049422
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1