HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR
Date: 1/420
TO BE ACCEPTED
Permit Number:
Building Permit Applicatio JAN 13 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Y
PERMIT TYPE:GAS PIPING -t �fl }�e�a�e.Y CtRRKiCSS 9 ps
PROPOSEDINIPROVEIVIENTLOCATION. ,'e "'''�1 '""fK,_cw 5�'='
Address: 906 CORAL ST.
Property Tax ID #: 3403-502-0245-010-9
Site Plan Name:
Project Name:
INSTALL GAS PIPING FOR NEW APPLIANCES. d• AGv ¢� k
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
i
Cost of Construction: $0 �) O OQ • Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER_V SEE ` a `4
CONTRACTQR
Name ROBIN L. HOOD
Name: CHRIS JOHNSON
Address: 906 CORAL ST.
Company: CNJ PLUMBING LLC
City: FT. PIERCE State: _
Zip Code: 34982 Fax:
Phone No. 772-216-4990
Address:1701 S. 37TH ST.
City: FT. PIERCE State: FL
Zip Code: 34947 Fax:
Phone No 772-801-3073
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CHRISJOHNSON@FPUA.COM
State or County License 30950
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 LAWINFORMATION'
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
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 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 LEADER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICY. OF COMMENCEMENT."
Signature of Owner/ Lessee/Contr ctor as Agent for Owner
Signature of Contractor/Licen g Ho der
STATE OF FLORIDA // p
STATE OF FLORIDA
COUNTY OF . 1 . I Ueitir7.
COUNTY OF
The fo oin instru ent as acknowledg d efore me
g g, }7
The f r in instru ent was acknowled ed efore me
g g
this day of 2 by
this ay of 2 by
'l�� i $AA6L1WQ
Name of person making statement.
Name of person m ng statement.
Personally Known •./ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identific 'ep
Produced
Produced L !J
(Signature of
Commission N
- LSEN
a." I
°`� •��='t�
:x o-State of FloridaFlorida�-NjJo_t�ry Public
= •= fission A�i6'k07484
-, o„� Pam' M Commission Expires
'�•���` y June 12 2022
(Signature
Commission
o li -Sae of Florida
"""' KAREN S. NIGdSfnN
`>a••J;, }�1'L
duo = orida-No blic
;� •fi Commission 0 GG 207484
3gMXrom
June 12, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
GROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 21i/iy