HomeMy WebLinkAboutBaysigner PL APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/20 Permit Number:
OWN190116
CO(J NT Y
F L a a i r_
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 3275 DOCKAGE WAY
Property Tax ID #: 4436-510-0023-000-4
Site Plan Name:
Project Name: BAYSINGER
Building Permit Application
Commercial Residential X
Lot No. 19
Block No.
I DETAILED DESCRIPTION OF WORK: I
REMOVE EXISTING TUB AND REPLACE WITH WALK-IN JETTED TUB IN SAME FOOTPRINT
NO TILE, NO DRYWALL
CONNECTS TO EXISTING DRAIN AND WATER CONNECTIONS
I CONSTRUCTION INFORMATION: 1
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1700.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARY BAYSINGER
Name: RALPH TRANIELLO
Company: NORTH END PLUMBING AND DRAINS
Address: 3275 DOCKAGE WAY
City: PALM CITY State: _
Zip Code: 34990 Fax:
Phone No. 772-812-1001
Address: 11192 60TH ST N
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax:
Phone No 772-281-8912
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
II• ... 1. ..ice Fw
E-Mail REBECCA@PERMITGROUPFL.COM
State or County License CFC1429833
-• ----•- -•-•.•..... .......v....� yc✓vv v� nw� c, q f�C�.VIiUCY IYOLIGe or t-Ommencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NQ�ICE OF COMMENCEMENT. -
Signature
Signature of Owner/ Lessee/Contractor as Agent for Owner Si nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this 20 day of OCTOBER 204"0 by this 20 day of OCTOBER 20 by
RALPH TRANIELLO RALPH TRANIELLO
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public -
Commission No. GG927928
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Notary Public State
ature of Notary Public-
att`o i a
Notary
of Fb
Sirnone
, Public State of Florida
Amand
anda
Commission GG 927923
Expires 14/34/2423
Co ission No. GG927928
Simone
�Wflission GG 927928
Expires
o pc 10/30/2023
SEA TURTLE MANGROVE
SUPERVISOR
PLANS
VEGETATION
REVIEW
REVIEW
REVIEW
REVIEW REVIEW