HomeMy WebLinkAboutBuilding Permit App Tradition Plumbing 3111 S 21st St FPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: V C 4 Permit Number:
COUNTY
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: u s+ S� COI' t- Pir—rcP F (Aq �a
i
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
N-eve wa-cr S-e.rvIce t nr vo houS C
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additionai work to be performed under this permit —check all that apply:
_Mechanical — Gas Tank —Gas Piping Shutters _ Windows/Doors _ Pond
Electric YN�umbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1 C1'SO Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name T, (A Hour _ Name: 1 If Oth Downi(l
Address: I S. IS t- S Company: i foc i i -pIU I n
City: Ft. P,-exCe' State: FL Address: �(Ob cD-, Z (-M
Zip Code: 3LO $ a, Fax: City: R)(t S-f, CIA C C. Q State:
Phone No. Zip Code: 3L(# $ 3 Fax:
E-Mail: Phone No "l-1 a.' '& 1 - I )$-g
Fill in fee simple Title Holder on next page ( if different E-Mail ti" Ci b L
_
from the Owner listed above) State or County License — H
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
F
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I DESIGNER/ENGINEER:
✓ Not Applicable
Name. -
Address:
City:
State:
Zip: Phone
FEE SIMPLE TITLEHOLDER:
,ZNot Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
BONDING COMPANY: Not Applicable
Address:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDWT: 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
Structure. Please Consult wythpyour Home Owne4rs Association tandrreview your deed ocovenants
any restr ctlons whrestrict
ch a or prohibit such
y 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 attorne before commencin work or recordin our Notic Commencement.
1 .-- —
Signature of wn Lessee/Contractor as Agent for Owner Signature of CotractcrfCjcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFF } L U . f COUNTY OF S�- -mit
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this _a day of :;7'SL r'E 2020 by
of persdn making
Personally Known t'rl OR Produced Identification
Type of identification
uced
(Signature of Not ry Public- State of Ff ri a
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Commission No 17� y+> 1 a�ExPiresAu 24,2020
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COUI NTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sy�pm to (or affirmed) and subscribed before me of
1� Physical Presence or Online Notarization
thisflIdayof �Un— 2020 by
Name of persoh making statemdnt.
Personally Known X OR Produced Identification
Type of Identification
Produce
(Signs r of Notary Public- State of Flo ' )
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Commission No. « ot9i} Expires July24.21
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