HomeMy WebLinkAboutSLC Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/25/2020
CSC] ['*ITY
IF L 0 R f D A
Permit Number:
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
PERMIT APPLICATION FOR: Plumbing
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 1578 NW Sweetbay Circle, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 8 - Sweetbay Village
Property Tax ID H: 4426-803-0035-0009
Site Plan Name: McKinnon Bath
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
disconnect & reconnect existing water closet in same location and install shut off valve. Disconnect &
Install new shower valve, rough & trim, disconnect existing plastic shower base and install new shower
drain and vinyl shower pan. Disconnect and re -connect existing lav faucet and install new shut off
valves.
CONSTRUCTION INFORMATION:
o is I work to 5e e1 orme un er t rs permit — c ec a t at app y:
�HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers O Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2, 800
OWNER/LESSEE:
Name Floyd McKinnon
Sq. Ft. of First Floor:
Utilities: 0Sewer Septic Building Height:
Address: 1578 NW Sweetbay Cir
City.. Palm City State: IFL
Zip Code: 34990 Fax:
Phone No. 914-649-1258
E-Mail: wink@cotswoldindustries.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Steve Rubin
Company: Rubin Homes, Inc
Address: 4253 SW High Meadows Ave
City: Palm City State: Fl
Zip Code: 34990 Fax: 866-480-7498
Phone No. 772-283-0553 Ext 2
E-Mail: reception 1.rubincustomhorlgmail.corn
State or County License: CGC1521765
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE -MENTAL CONSTRUCTION
LIEN LAW INFORMATION,
DESIGNERIENGINEER:
Not Applicable
Name:
MORTGAGE COMPANY: Not APplicable
Address:
Name:
City:
Address:
ZIP Phflne:
State: City: State:
Zip' Phone:
FEE SIMPLE TITLE HOLDEN-
Not Applicable ! BONDING COMPANY:
Marne:
! of Applicable
Name:
Address:
City:I�
' Address:
Phone:
City:Zip:....._._.^."
:Zip: Phone:
1 Certify that no work cr installation has commenced prior to the Issuance of a permit
5t, Lucie Counttyy rakes no representation that is granting a permit will authorize the permit ho#der to build the subject structure
which is in confiiri with anyapp€icable Nome 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! will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and 5t. 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 roams 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
commerlcin wo [tor recording your Notice Of Commencement.
si,PnaiUre of t3wneriLesseeJCentractor as Agent for own
er Signature of conti: ctorfLicense Holder
STATE OF FLORIDA STATE OF FLORIDACOf9NTY Of k.V.{—i n C5iOUNTY OF VKrt- iA-
T he forgoing instrument was acknowledged before me
this day or f Cd= 200
(Name of person acknowledging)
1-� -
{Signature c
Personally K
Type of Nen
Notary Public- State of Florida )
Commission No.
Revised 0711
REVIEWS
COMPLETE
MITIALS
I— OR Produced identification
Produced
N!GULE 6RATTON
State of Florida -Notary Publi
My Commission Expires
May 07, 2022
The forgoing instrum�entwas acknowledged before me
thi� f day of r ja — CA— 20 Ct 6 by
S +t-v gL- 4
;Name o€person acknowledging)
Aigna'e of {Valor Public- State of Florida )
Personally Known OF Produced Identification
Type of Identific ion Produced
Commission No.
— NICOLE f3RATTON
'State of Florida -Notary Publi
My Commission Expires
May 07, 2022
FRONT I ZONING I SUPERVISOR PLANS � VEGETATION. I SEATURI�E1ffb TLE I MFANGR1TVE
COUNTER REVIEW REVfI=w f EVIFW Kkl/lEtftt