HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 0810412021 .10:58 DAVE'S PLUMBING �FAR)772 288 7127 P.0011003
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ALL APPLICAB PiO� MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb r:
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• AUG . 6 2021
Building Permit Application
Planning and Development Services Permitting Departure
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR: Plumbing
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Address: L4 D f V 1
Legal Description:
Property Tax ID#: "��� W —' V� Y Lot No.
Site Plan Name, Block No.
Project Name: ,Q
Setbacks Front Back: Right Side: Left Side:
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Additionalworktobeoerrarmed under this permit—check all Inat apply.
❑HVAG Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑ElectricPlumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ c i -'QQ Utillties: Sewer❑Septic Building Height:
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Name I� Name: DAVID HUSNANDER JR
Address: k1 Company: nAVES PLUMBING INC.
City: State: L Address: 499 SE SEVILLE ST
Zip Code: 3LAM0 Fax: City; STUART State:FL
Phone No. ��a-as-� - $lag Zip Code: 34994 Fax: 772-288-7127
a.11V1 13Yn 11 _ZZ hone No. 772-287-8128
Fill in fee simple Title Holder on next page(if different E-Mail: DAVESPL1JMBING499@H0TMAIL.00M
from the Owner listed above) State or County License: CFC051625
If value of Construction Is$Z500 or more,a RECORDED Notice of Commencement is required.
0810412021 10:58 DAVE'S PLUMB 722887127 P.0021003
E M;E N TTA MIMIC) IN[Row
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.,
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County make permit holder to build the subject s ructure
%no representation that is granting a permit will authorize the
which IsInconictwi ant(rplicable Home Owners Association rules,bylaws or ancovenants that may
c9rictorpro lbitsuch
structure.Please consult w t your Home Owners Association and review your deed for any restrictions 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
WARNINGLI WNER:Your failure to Record a Notice of Commence may U n your paying twice for
impr en S 0\ erty.A Notice of Commencement t be d posted on the jobsite
�b _mre the fir r ctho/. if you intend to obtain financin oi�iult w' e or an attorney before
om
ornmencl �4AOtr�Aordl g n our Notice of Comme ment.
may u It we!may
s
Signature of Ow?mr/Lessee/Contractur as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The oing inst(ulpentwas ac nowledg!dibefore me The forgoing instrUMent was acknowledged before me
thl Zayof �,LA.Aall i�� 20 Eby this�±i day of L]AAAUSt 20 by
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(Name of person acknowledging) (Name of person acknowledging)
a. b . '0&D-V � t_l� ra)�
(Signature of Notary Public-StatUf Florida) (Signature of Notary Public-State of la iria)
Personally Known X_OR Produced identification Personally Known X OR Produced identification
Type of identification Produced Type of Identification Produced
PVKbFCN LANGFOR 1)* ' ASOTEN LANGFORD
Commission No. Wry Public Commission No. 141
N ublic
State Of Florida State of Florida
_-LOMM111F nin'41M915,
Revised 07/15/2014 Expires 12/a/2024 S EXpires IW8/2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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