HomeMy WebLinkAboutBuilding Permit Application 1211812019 10:22 DAVE'S PLUMBING TAR)772 288 7127 P.0011006
All APPLICABLE INFO MUS BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9, I Permit Number:
ECEIVED
• - DEC 19 ?019
Building permit Applica il0flucle County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fon Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:pLUMBING
1;'q OVUM�N�1'I CFO-r'O`'N:: 2
Address:
Property Tax ID#: ) Lot No.
Site Plan Name: Block No,
Project Name:
DETAI•ED -
°
CQN,-TR,!WGTION INFORMAT!'phi:
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:$ C`1D. Utilities: —Sewer _Septic Building Height:
OWNER/LESSEe: CO;N 'ftA O,R:
Name NameANatr I d 44 no n111800e_ ;?—
Address. Company: ye.-;! 2h b�-
city: State: Address:
Zip Code: 6 7 Fax: City: 342 IV 4 State:
Phone No. Zip Code: 3LIQ941 Fax: 7/
E-Mail: Phone N 7 �a�
Fill in fee simple Title Holder on next page(if different E-Mail L
from the Owner listed above) State or County License Q51 c2f)
If value of construction is$2500 or more,a RECURRED Notice of commencement is required.
If value of HVAC 15$7,500 or more,a RECORDED Notice of Commencement Is required.
1211812019 10:22 DAVE'S PLUMBING (FAX)772 288 7127 P.0021006
SUPPLEMENTAL CO�N>STR:U'CTION U: LAW (N!F4:R'MATIO.NFt '
. a
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
Narne- Name:
Address: Address:
City: - City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT.'Application Is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.I cie Coun makes no representation that is granting a Permit will authorize the permit holder to build the subject structure
whic�i Is!n conlctwith 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 1 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,wails,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER. YOUR FAILURE TO RECOIM A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR PAYING
TW CEMw
YOUR PROPERTY. A NOTICE OF ENCEM BE RECORID 11) AND
P D R RE THE FIRST INSPECTION. OU INT A FNNANCNIYG, CONSULT
ITN YOORNEY BEFORE RECOIADI OUR NOT OF CEMENT."
Signature octor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -- �[ ,�[ !'1 COUNTY OF�n }���
The fr oing instr ent was acknowledge efore me The f4 oing instru nt was acknowledge efore me
this day of 2DIMy this day of ' 20,U by
Nameof person mak nstatement. ..� W Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of identification
Produced Produced
a/0—It
(Signature of Notary Publ Notery Public8tata of Ffodda Signature of Nota Ijo,re i
P M ea 'Notary Public State of Florida
Commission No. �;� Pat MoPeels± '1
M ion OQ 27se�1 ommis5ipn No, Commie �idCf x7se71
or exptras OVOW2923 Y fres 03l09►3629
REVIEWS FRONT ZONING SUPERVISQR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19