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HomeMy WebLinkAboutBuidling PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/5/2020 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 X. PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 2304 Barbara Ave Legal Description: Edwood Acres Blk 2 W 75 Ft. of lots 7&8 Property Tax ID #: 2428-603-0027-000-6 Site Pian Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Install 40 gallon electric hat water heater I CONSTRUCTION INFORMATION: iarcional work to oe ertormea unaer tnls permit— cI HVAC Gas Tank DGas Piping Electric I Y I Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 980.00 Lot No. Block No. LnJ Shutters Q Windows/Doors LJ Generator Roof Roof pitch SFt. of First Floor: _ Utilities:11Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Frederick Ratcliff 'Name: Reed Sudderth Address: 2304 Barbara Ave Company. CRS Plumbing Address: PO Box 12755 City. Fort PierceState: Fl. Zip Code: 34982 Fax: Phone No. 772-461-1378 City: Ft. Pierce State: FI Zip Code: 34979 Fax: 772-460-7774 Phone No. 772-466-7763 E -Mail: Fill in 'Fee simple Title Halder on next page if different from the Owner fisted above) E -Mail: erspiumbinggbellsouth. net State or County License: CFC1426853 It value of construction is 525GO 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: BONDING COMPANY: Not Applicable FEE SIMPLE TITLE HOLDER: _ 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_ 5t_ 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 that covenants 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 5t. 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 roams 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 the first inspection- If you intend to obtain financing, consult with lender or an attorney {More commencing work or recording our Notice of Commencement. s Signa a of Owner/ Lessee/Agent Sign re of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF srwv- COUNTY OF Strom The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ZO day of �� , 20 I9—by this ?-�' day of , 2m by Edward 0. Jendan Edward 0. dendon (Name of�jp�r�s©n acknowledging) (Name of person acknowledging) C�3s4.x-� [Signature of Notary Pub c- State of Florida } (Signature of Notary Pu li - State of Florida) Personally Known ✓ O r u e n if c t` t Personally Known ✓ Type of IdentificationP�� Type of ldentiflt ativn Pr d %twy putft fic Of Fug Edward I7 J[u1 ware o �[�ri4mi55iC}n No. _ My Caot1 n GG 7:5544 C©mmi5sion No. � E�rES �G i7B 114 Up Fee QW154022 Revised 0711512014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS