HomeMy WebLinkAboutApp Prefab Plumbing - BartonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8632 Cobblestone DR
Property Tax ID #: 2326-600-0069-000-0
Site Plan Name: Barton
Project Name: Barton
Residential x
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install new Walk -in -Tub into existing shower. No tile or Drywall being done
New Electrical Meter Second Electrical Meter
j CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1700.00
Gas Piping
Sprinklers
Shutters Windows/Doors Pond
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter David Barton Nancy Ellen Barton
Name: Michael Coleman
Address. Cobblestone DR
Company: Prefab Plumbing
City: Fort Pierce FL State:
Zip Code: 34945 Fax:
Phone No.772.448.8336
Address:1100 Carr St
City: Palakta State: FL
Zip Code: 32177 Fax:
Phone No 386.546.7643
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailmgc1980@gmail.com
State or County License CFC043003
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
Not Applicable
ate:
_Not Applicable
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 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 IPnrier nr an attnrnev before commencine work or recording vour Notice of Commencement.
Sign ure of O net Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FL
LC)9k_
STATE OF FLORI
COUNTYOF 5.t,' ICL
C0UNTY0F!!nLZZ
Sworn (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this, day of � �Z 6_44 2 bye 9
Physical Prese ce or Online Notarization
this � day of 202$ by__�Z0--x�
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Name of pers n making statement.
Name of person making statement.
Personally Known Produced Identification L/
Personally Known OR Produced Identification
Type of Ide Ication
Type of Identification
Produc,e
Producex�4'
(Signatur of y P lic- PR"1..orl a KATHRVN PocKER
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(Signatu e q ary ublic-
KATHRYN POCKER
?� Notary Public - State of Florida
7�r mission x HH 025227
Commission No. .� : (S6BI�
r°,• �`•N ;. yyiiQjajublic State of Florida
COmmISSIOn O. <• ` fission a HH 025227
PFn° ' My Comm. Expires Nov 21, 2024
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' c � ` My Comm. Exoires Nov 21. 202
Borded through National Notary Assn
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Rev. 5/6/20