HomeMy WebLinkAboutSt Lucie Plumbing Permit App-LHSAll AP LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/13/2020 Permit Number:
o [LUM
m°# ° ° L' Building Permit Application
Plann ng and Development Services
Buildil7g and Code Regulation Division Commercial X Residential
2300 irginia Avenue, Fort Pierce FL 34982
Phon : (772) 462-1553 Fax: (772) 462-1578
LPER IT APPLICATION FOR: PN INVESTMENTS, LLC
PROPOSED IMPROVEMENT LOCATION:
Address: 5053 TURNPIKE FEEDER RD
Property Tax ID#: 1301-615-0221-000/0
Site Piz n Name:
Project Name: LIBERTY HEALTH SCIENCES
DET, ILED DESCRIPTION OF WORK:
:HAN E OF OCCUPANCY. NEED TO BRING ALL PLUMBING FIXTURES UP TO ADA CODES.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi nal work to be performed under this permit— check all that apply:
—Niechanical _ Gas Tank _ Gas Piping _ Shutters
Total
Cost
Lot No.10
Block No. 179
Windows/Doors _ Pond
lectric ;Plumbing _ Sprinklers _ Generator _
I. Ft of Construction: Sq. Ft. of First Floor: _
Construction: $ Q4q0 0D Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OW
ER/LESSEE:
CONTRACTOR:
Nam
Addr
City:.FORT
Zip
Phone
E-Mail:
Fill in
from
PN INVESTMENTS LLC
Name:PHILLIP MCDONALD
ss:5053 TURNPIKE FEEDER RD
Company:PHILLIP MCDONALD PLUMBING, INC
Address:740 S ORANGE ST
PIERCE State: _
ode: 34951 Fax:
No.
City: STARKE State: FL
Zip Code: 32091 Fax: 904-964-3738
Phone No904-964-3737
E-Mail pmcdonaidplumbing@yahoo.com
fee simple Title Holder on next page ( if different
the Owner listed above)
State or County License CFC 1428926
If valu� of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If valu of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FSU
LEMENTAL CONSTRUCTIOR-LIEN LAW INFORMATION:
DES
NER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Na
Add
City
Zip:
e:
Name:
ess:
Address:
State:
Phone
City: State:
Zip: Phone:
FEE
IMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Na rr
Address:
City
e:
Name:
Address:
City:
Phone:
Zip: _ Phone:
Zip:
OWN
I certif
R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I that no work or installation has commenced prior to the issuance of a permit.
St. Luc
which
strUCtL
In con
in accc
a County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo
access
lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARI
improvements
ILL
w
4ING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
to your property. A Notice of Commencement must be recorded in the public records of St.
cie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
th lender or an attorney before commencing work or recording our Notice of Commencement.
Sign;lure
of Owner/ Lessee/Contractor as Agent for Owner
ig ature of C-6ntractor/License Holder
STA
CO
E OF FLORIDA
NTY OF
STATE OF FLORIDA��' n
COUNTY OF
Swo
to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
day of 2020 by
Sworn to (or affirmed) and sub ribed before me of
_ Physical Presence or Online Notarization
this _LLI day of T I ` 2020 by
this
PHILLIP MCDONALD
Name of person making statement.
Narr
of person making statement.
Pers
TypE
Pro
nally Known OR Produced Identification
of Identification
iced
Personally Known V OR Produced Identification
Type of Identification
Produce
I
(Sig
ature of Notary Public- State of Florida)
I (Sign ur of N ar P blic- Sta
Commission
No. (Seal)
A� No{{@@ry Public State o/ FI
Co ission No. Zf� Z Z �5�@Nny C Hersey
+ - My Commission GG 2331I
NIX/Expires 08/28/2022
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SUPERVISOR
REVIEW
PLANS
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VEGETATION
REVIEW
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