HomeMy WebLinkAboutSLC Application - Oxenrider 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /11 /2021
O
Q o44itio
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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Property Tax ID #: 3425-706-0277-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and replace electric hot water heater located in util
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
closet.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric X Plumbing _Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Residential X
Windows/Doors
Roof
Lot No. 7
Block No. 53
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Glenda Oxenrider
Name: Adam Sampson
Address:3728 Sandlace Ct
P Com an Southpaw Plumbing and Metering Services, LLC
y
Port St. Lucie
City: State: FL
Zip Code: 34952 Fax:
Phone No.
Address: 1458 SW Bartell Ave
City: Port St. Lucie State: FL
Zip Code: 34953 Fax: 772-324-6531
Phone No 772-486-0914
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of rnnO... rtinn k xnn ,,......-•. _
E-Mail info@Southpawwater.com
State or County License CFC1428285
- --- -- ...- - - •• . a--mnencemen[ is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
-----------------
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
)WNFR/ f(l1UTR Ar'Tno nconvrr- .
MORTGAGE COMPANY: Not Applicable
Name:
Address:
L'Ity: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
- -- - - • ..rr..o.wu w -ici cuY meae io ooiam 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.
Inconsideration 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 attornev before commencin w k
or
or recording your Notice of ommencement.
Signature bif Owner/ Lesse ntractor as Agent for Owner
Signature of Contractor cense Holder
STATE OF FL O
COUNTY OF_�A r >! (` I Q
STATE OF FL D
COUNTY OF�(�
Swor o (or affirmed) and subscribed before me of
Swor to (or affirmed) and subscribed before me of
Ph cal Presence or Online Notarization
thisdayof�A(� 20 b
Ut---' � Y
_ Ph sical Pr sence or Online Notarization
thisayof�
2020 by
n
JC l
Name of person making statement. N
Name of person making statem nt.
Personally Known -�� OR Produced identification
Personally Known t� OR Produced Identification
Type of Identificatio
Type Identification
Pro uced
Produced
(Signature of No y lc- Sta OifF 'da teryPuWlcState ofFlor
1� Sara Johnson
(S' nature ofNota Pu lic-St a on
ry Public State of Flonoa
L� M
COmm15610n NO.
��� 09/71@0Cemmissioo HH 03669 2+
Sara Johnson
CO
ASauea
mission No. c , miaswn HH 038693
�:Pirco9ninoz+
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
ev.