HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34.82
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2002 NW Royal Fern Ct
Permit Number:
Building Permit Application
Commercial Residential
Property Tax ID #: 4425-605-0015-000-2 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Harbour Ridge
DETAILED DESCRIPTION OF WORK:
Relocate hot water heater. Install 4 new lavatories, freestanding tub, two new shower valves, kitchen sink,
laundry tray, and bar sink. (Locations to remain on all fixtures except hot water heater.)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters Windows/Doors
_ Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,750.00 Utilities: —Sewer —Septic Building Height:
OWNERLESS€E:
CONTRACTOR:
Name Ray & Bonnie Deegan
Name: Jason Wintercorn
Address: 445 Lakeshore Pointe Dr
Company: South Park Plumbing, Inc_
City: Howell State: _
Zip Code: 48843 Fax:
Phone No.
Address: PO Box 768
City: Port Salerno State: Fl
Zip Code: 34992 Fax: 772-287-2559
Phone No 772-287-2548
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
live.com
E -Mail southparkplumbing@live.com
State or County License CFC1426656
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.
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 TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 thepermit 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 YOURAXMER OR AN ATTORNEY BEFORE RECORDING YOUR NO, FCO MENCEMENT."
of Owner% Lessee/Contractor as Agent for Owner re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF a. LVC'lC COUNTY OF �` • Ll.. 6e
The for ping inument was acknowledged before me The for oing instr meat was acknowledged before me
this day of 2020 by this �� day of 200by
Name of person making statement.
Personally Known V' OR Produced Identification
Type of Identification
Name of person making statement.
Personally Known " OR Produced Identification
Type of Identification
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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