HomeMy WebLinkAboutBuilding PermitALL APPL CABLE INFO �MMUjS BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'GVH Permit Number:
S J
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
PERMIT APPLICATION FOR: Plumbing
I PROPOSED IMPROVEMENT LOCATION:
Address:
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Property Tax ID #:1 YLS — 701 - b1 b 4 -%'0` q Lot No.
Site Plan Name: 'J //II Block No,
Project Name: Hugh 4
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: —I
Ujb 0111 i ( ( a 36 k:
CONRUCTION INFORMATION:
tSTrona work o be oartormed under thispermit - c ec a t a appy:
HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors11
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ /14l- a::)
SFt. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OW N ERAESSEE s
CONTRACTOR:
Name
Name: CRAIG MOBLEY
Address:
Company: SOUTHERN PLUMBING, INC
City: State-
Zip Coder( Fax:
Phone No. T 7
Address: 406943RD AVENUE
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: SOUTHERN PLUMBI NG@AOL.COM
State or County License: RF0067100
---••-••--••�•••�+ - =...,n.,=.+,.voce or i.ommencemenr is required.
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PLANS
VEGETATION
..4y-"
MANGROVE
DESIGNER/ENGINEER:
x Not Applicable
REVIEW
MORTGAGE COMPANY:
x_ Not Applicable
Name:
REVIEW
REVIEW
Name:
Address:
Address:
_
City:
State:
City:
_
State:
Zip: Phone:
Zip: Phone:
INITIALS
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
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 tFq first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm ng work or recording vour Notice of CommencemenP)
Lessee/Agent
STATE OF FLORIDA
COUNTY OF 'Holm RIVER
cr
STATE OF FLORIDA
COUNTY OF INDIAN RNER
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this °I" day of .� U h e 20 2(i by this in day of ,) U n e 20 2AL by
(Name
(Si ture'dff Notary Publi tate of Florida ) (Sig�t0gf Notary Public -St a of Florida )
PerTonally Known OR Produced Identification Per nally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
OVHr30t2
Revised 07/15/2014
Fbrida
No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS