HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Planning and Development Services
Building and Code Regulation Division
J300Virginia Avenue, Fort Pierce B34982
Phone: (772)46Z-1553 Fax: (772)462'157O
Commercial Residential XX
PERMIT TYPEWATER HEATER REPLACEM-ENT
Address: 7335 MARSH TER
Property Tax 0#: 3321-804-0025-000-4
Site Plan Name: MARSH LANDING AT THE RESERVE -PHASE ONE
Project Name: VVORTHLEY
REPLACE 5OGAL WATER HEATER |NGARAGE
Lot No. 18
=112mo
Additional work tobeperformed under this permit —check all that apply:
—Mechanical __GasTank __ Gas Piping __Shutters Windows/Doors
Tota|Sq. FtufConstruction: __
Cost of Construction: 800-00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: __Sevve/ _Septic Building Height:
Name CAROL WORTH LEY
�Address'7335MARSH TER
City: pSL State:___
Zip Code: 3498S Fax:
Phone No. 772-485-4801
Fill infee simple Title Holder pnnext page (ifdifferent
from the Owner listed above)
Name: DAV>DHUSNANDERJR
Company'DAVE'SPLUMBING, INC
City: �tate
STUART : FL
Zip Code: J4994 Fax:7722887127
PhoneNo772-287'8128
E-MailDAVESPLUMBING499@HOTMA|LCOM
State or County License CFC051625
Ifvalue ofconstruction h$250 ormore, aRECORDED Notice ofCommencement is required.
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.
1 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 OB��RE THE FIRST INSPECTION. I NO TO OB N FINANCING, CONSULT
WITH UR LEND RNEY BEFORE RECORDIN OUR NOTIC E EMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/license Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFMARTIN
COUNTY OFMARTw
The forgoing instrument was acknowledged before me
this 24 day of JANUARY Z(7r;'by
The forgoing instrument was acknowledged before me
this 24 day of JANUARY 20,. t£by
DAVID HUSNANDER JR
DAVID HUSNANDER JR
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
°P—RdOced
Produced .
: £ `'`5 # "a. F^,r' {Ff .t ;/'gt%
C t �(/
""+� (4 y � 'm pg✓f 1
(Signature of Notary Public- S e F
ature of Notary Public- State f I r'
Na ry Public State of Flori
Commission No. GG275671 (" i vlCPeak
c ag My Commission GG 27567
Expires 03/08/2023
N ry Public State of Florid
Co mission No. GG275671 ePi MCPeak
Ex Commission 23 27
Expires 03/08I2023
7
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DATE
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COMPLETED
Rev. 2/7/19
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