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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/19/20 [ o • p tv -- Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Residential X Address: 12396 Harbourf``Ridge Blvd Palm City - South Shore Village U hrt 4 Property Tax ID #: ��1��� ^ — 000 Lot No. Site Plan Name: Project Name: Block No. DETAILED DESCRIPTION OF WORK: New kitchen sink, washer box, Master Bath -delete 1 lav, install new lav, delete shower, convert tub to shower with new pan, valve and toilet. Guest bath -Convert tub to shower with new pan, valve, lav and toilet. New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical /_ Gas Tank _ Gas Piping _ Shutters Electric V Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 400 . Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name P16 ��I Is -� Name: C Company OLitrl ,f1t. ��VY1C Addresrs�:mM City: m C �+ Zip Code: 149 1� Phone No -)13 E-Mail SO rQ State or County License G C� C ��tPt L',re �� �S� l� ww L Stater Fax: ' © c o`a . CM Address:11 O � %' eu'— �' _ City: 1-'IXY\ CA State: �t— Zip Code: `3y 9 Fax: —� Phone No. E-Mail: 3C& mco can Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is z5oo or more, a KtGUKUCU IVOLICe o1 %.U[111 I ICIKC111c11L la I cMa If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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. 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencing work or recordinp, vour Notice of Commencement. 1 4m Signature of Owner/ Lessee/Contractor as Agent for Owner Sigi at re of Contractor/License-Holder STATE OF FLORIDA STATE OF FLORIDA�I COUNTY OF COUNTY OF /yy� Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical PresZence or Online Notarization this day of 12020 by this day of lJ ti � 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced C, GAIL WEIR (Signature of Notary Public- State of Florida) (Signature of Notar R I tat@I T%Y! "�tteo onoa G 163244 ommisson .� �• M Comm. Expires Nov 27. 2021 y Sea (Seal) Commission No. l Commission No. ����":-�' RnnCed :hro.,C^rya:AS�LJ;arr Assn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. South Shore Plumbing • Mark & Patti Schuette 12396 Harbour Ridge Blvd Palm City, FL 34990 Install three lav faucets Install two customer supplied toilets Replace vales in kitchen, two bathrooms Install customer supplied kitchen faucet Make tub shower, move drain and move supply line Move valve in guest bath Move drain from old shower and make plumbing for vanity Replace washer box Misc parts and labor All Plumbing fixtures supplied by Homeowner. Thank you for your business INVOICE INVOICE 9 DATE 2167 6/12/2020 CUSTOMER Due Upon Receipt Palm City 1.75 75.00 125.00 50.00 150.00 85.00 85.00 85.00 85.00 SUBTOTAL TAX RATE TAX TOTAL $ IT you have any questions about this in voice, please contact 50% Deposit and balance t final i I 225.00 250.00 400.00 150.00 425.00 127.50 467.50 148.75 2,393.75 6.500% 2,393.75 1410" 8' Master Bedrool-11 R, 15'2 " x Condo 3 B4cclr(xym/2 Bath 1,750 scl. I't. of iti()Ilccl