HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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 Commercial Residential
FPERMIT APPLICATION FOR: Plumbing
Address: UnLAO b am+ SOS
Legal Description:
Property Tax ID #: 45oa -bQ - Uf--Q - QM - 3 Lot No.
Site Plan Name: Block No.
Project Name: vannosi'(Un6 Q_q�zi
Setbacks Front Back: Right Side: Left Side:
Lot-Vo t)hower\ url,,-* usww5 In try
Additional work to be pertormed under this permit— ctiecK all apply:
11HVAC R Gas Tank F❑]Gas Piping M Shutters Windows/Doors
FlElectric F)—(]Plumbing OSprinklers FIGenerator o Roof Roof pitch
Total Sq. Ft of Construction: S Ft of First Floor:
Construction: $ li Sewer 1-1
Cost of Const I aE)0-00 Utilities — Septic Building Height:
Na
Aaaress:
City: Movicbe-S State:
Zit) Code: k %Q55 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DAVID HUSNANDER JR
Comoanv: DAVIES PLUMBING INC.
Address: 499 SE SEVILLE ST
City: STUART State: FL
34994
Zip Code: Fax. 772-288-7127
Phone No. 772-287-8128
E-Mail: DAVESPLUMBING499@HOTMAIL.COM
State or County License: CFC051625
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requireo.
x
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE BOLDER:
_ Not Applicable
BONDING COMPANY: 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 our property. A Notice of Commencement must be recorded and osted on the jobsite
before t f°irgf insp ctio you intend to obtain financing, co r n a attorney before
co encinP work o i g your Notice of Commenc nt.
as Agent
STATE OF it l+
COUNTY•'
The forgoing instrurnent was acknowledged before me
this ''day of 20 Qaby
(Name of person acknowledging)
L � _i�� 1LM� &
(Signature of Notary Public- State WIorida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
nse Holder
STATEOF i ' # i„
COUNTYOF
The "forgoing instru ent was acknowledged before me
this day of " 20 PD by
r-- Oav ta '4US
(Name of person acknowledging }
U_ - 611m 6
(Signature of Notary Public- State of F a }
Personally Known OR Produced Identification
Type of Identification Produced
(S&Iporeen Langford Commission No.
', NOTARY PUBLIC
MPoreen Langford
NOTARY PUBLIC
= I ` '" Gomm# GG043591 : "" Comm# GG043591
Revised 07/15/2014 s�cE i9�� Expires 12/812020 '"ret: 51% Expires 12/8/2020
REVIEWS
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