HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/24/21 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone: (772)462-1553 Fax: (772)462-I5'78 Commercial Residential
PERMIT APPLICATION FOR: Plumbing RE-PIPE 0
PROP.aSEIa IIVI �OVEMEN'T LOCArtI
Address: 5511 DELEON AVE, FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 12- BLK 161 LOT 12
Property Tax lD#: 1301-614-0130-000-2 Lot No. 12
Site Plan Name: Block No. 16_'L___
Project Name: DESROSIERS REPIPE
Setbacks Front Back: Right Side: Left Side:
DETAILI"I3 DESCRIP "IO.N OF t .ORK:
RE-PIPE ALL DOMESTIC HOT AND COLD WATER LINES
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jtrona w6, o b e e' orme under t is permit—c ec a apply:
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IIHVAC 13 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric IXI Plumbing 05prinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities:llSewer Elseptic Building Height:
Name DANIELLE DESROSIERS Name: RONALD E MEEKS
Address: 5511 nFI F N AVE Company: MEEKS PLUMBING INC
City: EQRT PIERCE state: FL Address: 5555 US HWY 1,SUITE 1
Zip Code: 34951 Fax: City: VERO BEACH State: FL
Phone No. 772-370-2448 Zip Code: 32967 Fax. 772-569-7647
E-Mail: Phone No. 772-569-2285
Fill in fee simple Title Holder on next page(if different E-Mail: INFO@MEEKSPLUMBING.COM
from the Owner listed above) State or County License: CFCO24535
If value of construction is$250D or more,a RECORDED Notice of Commencement is required.
5 W LEME T TIdI I'EN W INFdR1 TION
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DESIGN ER/ENGINEER. -X_ Not Applicable MORTGAGE COMPANY: _X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Prone:
FEE SIMPLE TITLE HOLDER: _X 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corrymRricing work or recordin our Notice of Commence nt.
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Signa ure of Owner/Lessee/ ontractor as Agent for Owner Signature of Contractor/ icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_ 4 day of FEBRUARY 2021 by this 24 day of FEBRUARY 20_Zl by
RONALD E MEEKS RONALD E MEEKS
Name of per o making statement Name of p rson making statement
PersonallyKnown OR Produced Identification Personally Known OR Produced Identification
Y
Type of IdentificatioK Type of Identificati n
Produced Produced
(Sign urIm%1V
Florida} (Sig ture of otary Pub i -State of Florida)
Com issilic SW4�efflarida Corn issi No „ state i Iftaw
Thibault L t SIN auit
ssion GG 093573 ' My Commission GG o93573
1012021 1012021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17