HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAII APPLICABしE INFO MUST BE COMPしETED FOR APPしICATION TO BE
Dat。:矛vG偽/
Bui看ding Perm
PI。ming ond Development Services
Bui/ding ond Code Regu/otion Division
2300 Wrginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: 〈772) 462-1578 Commercial
PERMiTTYPE: PIumbing
PROPOSED IMPROVEMENT LOCA丁ION:
Address: 7725 WEXFORD VVAY, PORT ST LUCiE
Property Tax ID藍
Site PIan Name:
Project Name:
3321 -801 -0054-000-7
DETAlしED DESCRIPTION OF WORK:
CHANGE OUT WA丁ER HEATER 50 GALLON ELECTRICAL LIKE TO Li
CONSTRUCTION INFORMATION:
AdditionaI workto be performed underthis permit-Check aIi that
器:-CaI 詩誌 _書芸
Totai Sq. Ft of Construction:Sq. Ft.ofF
OWNER/LESSEE:
Name DAVID B HERRING
Address: 8728 BALLY BUNION RD
Port St Lucie FL
Zip Code:
Phone No.
亡-Ma旧
34986 Fax:
Fi= in fee simpIe TitIe HoIder on next page ( if di惰erent
from the Owner listed above)
Name:A
Company
Address:
Zip Code:
Phone N
E-MaiIIe
If vaiue of construction is $2500 or more, a RECORDED Notice of Commence
If vaiue of HVAC is ;7,500 or more, a RECORDED Notice of Commencement i
CC各p丁各D
ermit Number:
t Application
ResidentiaI X
」ot N○○54
BIock N0.
Shutters windows/Doors
Generator Roof
rst FIoor:
er _Septic BuiIding Height:
Pitch
NER LEYVA
Leyva PIumbing Services
502 SW Meridian Ave
S丁Lucie
34953 Fax:
786-586-6928
state: FL
apIumbing@yahoo.com
License CFC1425666
ent is required.
required.
DESIGNER/ENGIN旺R: Not AppIicable
Name:
Address:
MORTG
Name:
Address:
幡E SIMPしE TITLE HOしDER: Not Applicable
Name:
Address:Address:
OWNER/ CONTRACTOR A田DVIT: AppIication is hereby made to obtai
l certifythat no work or installation has commenced priorto the issuance of
謹鵠緒言輔蒜畿謹翳諾鵠鵜
In conside「ation ofthe g「anting ofthis requested permit, i do he「eby agree th
in accordance with the approved pIans, the FIorida Bu脚ng Codes and St.
GE COMPANY: Not Applicabie
COMPANY: Not ApplicabIe
a pe「mitto do the wo「k and insta=ation as indicated.
’3葦投書,整籍盤豊謀詰ま描盤h諒解謂盤謂鵠鵠
t l wilI, in a= 「espects, Pe「form the work
County Amendments.
言霊岩盤豊島墨書誤蒜蒜霊塁岩盤豊島芸諾書芸嵩霊霊n,i。I us。
``wARNING TO OWNER: YOUR FÅlしURE TO RECORD Å NOTl⊂E OF
丁WiCとFOR IMPRO▼EMENTS TO YOUR PROPERTY. Å NOTICE
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTiO軸。
W町H YOURしENDER OR ÅN ÅTTORNEY BEFORE RECORDiNC Y
MMEN⊂EMENT MÅY RESUしT iN YOUR PAYtNG
F COMM教NCEMENT MUST BE RECORDED ÅND
「OU INTEND TO OBTÅ看N FINANCINC’CONSUし丁
0UR軸o丁tC格O「
Signature of Owner/しessee/Contractor as Agent for Owner
STATE OF FしORIDA
COUN丁Y OF
The forgoing instrument was acknowIedged before me
this_day of 20_ bY
Name of pe「son making statement.
PersonaIIy Known
Type of ldentification
Produced
OR Produced Identification
(Signature of Notarγ Pubiic- State of FIo「ida )
Commission No.(Seai〉
Signature
STATE O
COUN丁
The fo「goi
Nameofp
Persona=y
Type of id
Produced
Commissi
REVIEWS FRON丁
COUNTER
ZONING
REViEW
SUPERVISOR
REVI巨W
M各軸⊂各軸各軸丁。タタ
f Contract
「しORiDA
b「￣-￣￣￣手工、し毒し
g instrument was acknowledged befo「e me
rson making statement.
Known >二二⊃ OR Produced ldentification
Of Nota「y Pubiic- State of FIo「ida )
nN。. 7//8万⊃臆_ (S。aI〉
VEGETATION
R各VIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW