HomeMy WebLinkAboutPamela Roberts Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/29/2020
Permit Number:
J -.
-. - 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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6405 Oleander Ave Ft. Pierce, F1. 34982
Legal Description:
Property Tax ID #: 3409-441-0001-000-6
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
LDETAILED DESCRIPTION OF WORK:
replace existing fixtures with new in #1 guest Bath, install
new cast iron shower pan Adding a 2nd guest a ass own i
drawing. Kitchen and laundry room will remain as is.
CONSTRUCTION INFORMATION:
Additional work to be�jerformed under this permit — check
all that app y:
E1HVAC LJ Gas Tank ❑Gas Piping
1:1Shutters F]Windows/Doors
Electric Plumbing LISprinklers
L F]
Generator Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 2075.00 Utilities: "Sewer Sewer []Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Pamela Roberts
Name: Reed Sudderth
Address: 6405 Oleander Ave
Company: CRS Plumbing
City: Ft. Pierce State: FI.
Address: P.O. Box 12755
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No. 772-834-3693
Zip Code: 34979 Fax: 772-460-7774
E-Mail:
Phone No. 772-466-7763
Fill in fee simple Title Holder on next page ( if different
E-Mail. crsplumbing@bellsouth.net
State or County License: CFC1426853
from the Owner listed above)
11_If value of construction is $2500 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. I
Phone:
Zip: Phone: `
FEE SIMPLE TITLE HOLDER: � 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 requester) permit, I do hereby agree that I will, in all respects, perform the work
�Jin 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 your property_ A Notice of Commencement must be recorded and pasted on the jobsite
before the first inspection- If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
f
_ SignafWre of Owner/ Lessee/Agent
Sign re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF si
COUNTY OF
1
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Zo day of �'� . 20 l by
this Ze-:1 day ofJut) ___ Zip by
Edward i). Jendon _
Edward D. Jendon
P(Name of acknowledging)
(Name of person acknowledging) --
(person
l
(Signature of Notary Pub c- State of Florida }
(Signature of Notary Pu li - State of Florida)
Personally Known _'61" O r
Personally Known ✓
Type of Identification P �— bl�
Type of Ident►ficatiori Pr Notary pubk
Edward Q,f�tlon
Commission No. _ my Ca�-r5n GG 17a5iA
n
� rd DJeng"
Commission No. �,uxr� GG 179514
- 8
* expires 45dt V2G22
Revised 07/ Z 5/20I4
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIAL& -
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