Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/07/21 Permit Number: L�'� © � . .. 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 - WATER SERVICE PROPOSED IMPROVEMENT LOCATION: Address: 5014 SUNSET BLVD, FORT PIERCE, FL 34982 Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: WEST WATER SERVICE DETAILED,DESCRIPTION OF WORK: INSTALL NEW WATER SERVICE LINE FROM METER TO HOUSE New Electrical Meter Second Electrical Meter (Affidavit required) W . Al NO q CC�NSTR1CTIt3N��1N � T'� ',; �, ,�"a, Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Pond _ Electric X Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ $2400.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name LEANN WEST Name: RONALD E MEEKS Address: 5014 SUNSET BLVD Company: MEEKS PLUMBING INC City: FORT PIERCE State:FL Address: 5555 US HIGHWAY 1, SUITE 1 Zip Code: 34982 Fax: City: VERO BEACH State: FL Phone No. 772-489-4351 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(g�MF KSP UMRING, C ONA _ from the Owner listed above) State or County License CFCO24535 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. s= DESIGNER/ENGINEER: __X_ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORI COUNTY OF C Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization this JM day of September 12021 by Name of person making statement. I Personally Known,OR Produced Identification Type of Identifioti0n Produced (Signature of Not y P664c=-State of Florida ) Commission No. S � ; LORETTAM.THISAULT ( - MY COMMISSION#HH 116484 X, t�o: EXPIRES:August 10,2025 ••• o's F,? BMbOG TAN Notary PUWIC Uf1A2twtitW REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5/20/21