HomeMy WebLinkAboutPermit - Christopher HandyALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/15/2020 Permit Number:
- -1
RAM
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 X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 Pine Martin Lane Ft. Pierce, FI.
Legal Description: Timberlake Estates
Property Tax ID #: 2302-601-0040-000-0
Site Plan Name:
Project Name:
Setbacks Front_ Back:
Right Side: Left Side:
Replace existing 50 gallon LP hot water heater located in garage.
Lot No -
Block No.
itiona wor to e�ej rformed under this permit— check all apply:
❑HVAC L—J Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
11 Electric �✓ Plumbing ❑Sprinklers Generator Roof
Total Sq- Ft of Construction: _
Cast of Construction: $ 1292.00
S Ft. of First Floor: _
UtilitiesInSewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher Handy
Name: Reed Sudderth
Address: 8650 Pine Martin Lane
Company: CRS Plumbing
City: Ft. Pierce State: Fl.
Zip Code: 34947 Fax:
Phone No. 772-528-5972
Address: P-O. Box 12755
City: Fort Pierce State: FL
Zip Code: 34979 Fax: 772-460-7774
Phone No. 772-466-7763
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: crspiumbing@bellsouth.net
State or County License: CFC1426853
If value of construction is $2500 or more, a KECUKU .) iYo[iCe or commencement is requirvu.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
�rl
I r�e�_ /
s
_ Sign re of Owner/ Lessee/Agent SignatifFA of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF st Luce
The forgoing instrument was acknowledged before me
this 5 day of M�, 20 Eby
Edward D. Jandan
(Name of person acknowledging)
STATE OF FLORIDA
COUNTY OF s<-c-
The forgoing instrument was acknowledged before me
this S day of !V y , 20 IJ _ by
Edward D_Jendan
(Name of person acknowledging)
(Signature of Notary Pub&4 State of Florida ) (Signature of Notary Puff
u li State of Florida)
Personally Known ✓ OR Produced Identification
Type of Identification P
n�►er
Notary Pudiic Siote of Florida
Commission No. _ -
Edwa�&radon
My C
�i
Gil 176514
Expires 051IW2022
Revised 07/15/2014
Personally Known ✓ ORP d r I -f i
Type of Identification Pr uc
, Edward D Jendon
• Commission No. My Cigm(640 170514
op R Expires t15111N 22
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