HomeMy WebLinkAboutBuilding Permit Application Dec 31 2019 10:34AM Aqua Dimensions 7723437418 page 1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��l�ll �1dI _ Permit Number:
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Building Permit Applica lion j3o
Planning and Development Services
Building and Code Regulation Division ? _"A t � r��'•
2300 Virginia Avenue,Fort Pierce FL 34982 s T +
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Reg -
PERMITTYPE:Plumbing
Address: 1216 NW Winters Creek Road, Palm City Florida
Property Tax ID#: 4423-701-0013-000-7 Lot No.9
Site Plan Name: Harbour Ridge/Pine VillageBlock No. 17
Project Name: Pierson Renovation
Interior renovation of single family resldential home kitchen and wet bar
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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 J(Plumbing —Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: 1200 kitchen Sq. Ft.of First Floor: nla
Cost of Construction:$ 4240,00 Utilities:is1$,,,sewer W/jLSeptic Building Height: n/a
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NameJames A Pierson Name:Robert Ludlum
Address:1216 NW Wlnters Creek Road Company,Aqua Dimensions Plumbing Services
City: Palm City State: 4 Address:1651 SW S Macedo Blvd
Zip Code: 34990 Fax:866-480-7498 City: Port St Lucie State:fl
Phone No.772-283-0553 Zip Code: 34984 Fax: 772-343-7418
E-Mail:N/A Phone No 772-344-8433
Fill in fee simple Title Holder on next page(if different E-Mail adps@aquadimensions.com
from the Owner listed above) State or County LicenseCFC057526
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.
Dec 31 2019 10:34AM Aqua Dimensions 7723437418 page 2
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
oe
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of 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.
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 ORAN ATTORNEY BEFORE RECORDING Y OUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OFSTLucIE
The forgoing inst ment was acknowledged before me The forgoing instrument was/acknowledged before me
this i day ofII = 7 ' "/• Z0� by this,_ I day of �T 'fP'cilK>F'�' .20 by
f�f'1�;�;;i'(t L.U ril l5 Iry"1 -rfi La.1
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known f OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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1
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida )
`i f. USA LESTER USA LESTER
Commission No L-L y 7 ;*�Comrn#GG127647
WARY PUBLIC Commission No. - Ng54§@q PUBLIC
STATE OF FLORIDA aSTATE OF FLORIDA
'NOT-10'o Expires 7/24/2021 p }TI Expire;7/24/2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19
3
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1
*`OB NAME
PIERSON'RESP
_JOB�flDR,. 12�,6,:.f�IW WINl'ERS CREEKl�D�; -
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NOTES:
W�PROPOSE TO PRO�/lDE LAB,.C�R AND'ROU, TERIAL�TO
:t CO�IIPLETE PLkUM6[NG�EOR 1`24;$,NWWIIVTERS`C�R:EfwK PALM Clll!:;. ; ''
PRT URES 74 O-SUPPLIED B1C',GGOWNER THIS.ISYA ROUGH
t ESTIMATE AS,PER,WALK THRU
THERE ARE"NO WARRANTIES FOR ER",SUPPLIED;;
FIXTURES:ANY 01NNER':SUPPtIED MATERIAL`TO BE DELIVERED
i 'TO JOB SITE>
ANY WATERPIPING,TO BE COPPER,Ah[D 3Pi1VITAR`1"PIPII+IG TO BE
t PVC, Y.._ ..
SCOPE OF 1111OR1<
DiSGONNECT&RECONNECT.FIXTURES IN SAME4L(,?CATION FORS ;
KITCHEN•&Ut(ET BAR-
DISGONNECT E?EiSTING_FIXTIJRES,CAP DRAINAGE&WATER
t.[NES FOR-DEMO;-
EXTEND&-ADJUST DRAINAGE:&"WATEa LINES:
ADD=POT FILLER LINE FROM„COLD AT`I3ATHROOM SINK BEHIND
KITCHEN WALL TO'POT FILLER AREA PREPARING FOR BALL -”,
VALUE IN CABfNET'NEXTTO'COOKTOR -`
INSTALL NEW FIXTURES,ALI.UNDER$INK TRIM INSAME
I LOCATION TEST.FfXTURES .-
DISHWASHERCONNECTION°&ICE MAKER CINE BY OTHERS (P NOT`
ONSITE AT FINAL ANIS FJCTRATRIP(S)i(VILt_BE CHARGE A TRIP`
i; ANYWORK'OUTSIDE 4ETHI5 P
QPPW NEEDS;TO BE;IN
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