HomeMy WebLinkAboutBuildingPermitApplication - Corris All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/20/2021 Permit Number:
91To
O
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:Guest Bath
Address: 7104 Cabana Lane, Fort Pierce, FL 34951
Property Tax I D#: 1301-613-0274-000-0 Lot No. 5 & 6
Site Plan Name: Block No. 149
Project Name:
DETAILED DESCRIPTION OF WORK:
Connect underground sanitary system. Installation of PVC Pipe, and shower pan.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond
Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3788.89 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michael Corris Name:Adam Sampson
Address:7104 Cabana Lane Company: Southpaw Plumbing & Metering Svcs, LLC
City: Fort Pierce State:_ Address: 1458 SW Bartell Ave
Zip Code: 34951 Fax: City: Port St. Lucie State: FL
Phone No. 732-221-6679 Zip Code: 34953 Fax: 772-324-6531
E-Mail: bones980us@yahoo.com Phone No 772-486-0914
Fill in fee simple Title Holder on next page(if different E-Mail info south pawwater.com
from the Owner listed above) State or County License CFC1428285
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ 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 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 attorney before commencing work or recording our Notice of ommencement.
Signature bf Owner/Less ntractor as Agent for Owner Signature of Contractor tense Holder
STATE OF FLO A p n p STATE OF FLO�pA
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this day of_ F1n 1 .202� by this day of Y 202� by
Name of person making
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