HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/31/2021
Permit Number:
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71
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing
PRE-POSEDjl11/IPR01/EMENT LOCATION
Address: 301 S JENKINS RD Fort Pierce, FL 34949
Property Tax ID #: 2312-414-0002-000-9
Site Plan Name:
Project Name: Bathroom
RECEIVED
MAR 3 0 2022
St. Lucia County
Residential X Permitting
/j Remodel Bathroom (Remove tub and Install shower and alLpel
New Electrical Meter Second Electrical Meter
Additional work to be performed' under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction: 1,715
Cost of Construction: $ 2,200.00
(Affidavit required)
_ Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator 1 Roof
Sq. Ft. of First Floor: 1,715
Lot No.
Block No.
_ Pond
Pitch
Utilities: —Sewer —Septic Building Height: 10
Name James Bello
Address: 719 Shore DR
City: Vero Beach State: FL
Zip Code: 34963 II Fax:
Phone No. N/A i"742- )D 6161
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Eric Foster.
Company: Cavalier Plumbing
Address: 2993 SE Orange Tree PL
City: Stuart State: FL
Zip Code: 34997 Fax: 772-907-0420
Phone No 954-934-4056
E-Mail cavalierplumbing@outlook.com
State or County License CFC1426743
If value of construction is 2s00 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.
i
5UPPLEMENTAL GQNSTRUCTION LIEN LA1NrINFbRMATION
DESIGNER/ENGINEER: LLL Not Applicable
MORTGAGE COMPANY: Lid Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: IL Not Applicable
BONDING COMPANY: 1✓ 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
is in
which 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.
L G
Signature of.Ow eYl- essee/Contractor as Agent for Owner
STATE OF FL 1DA -
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 31th day of March 20 22 by Eric Foster
Name of person making statement.
Personally Known X OR Produced Identification
Ty `e of IId�entification Produced
(Signature of Notary Public- State of Florida )
WV
Commission No. cc913269 (Seal); ' Eft ftH bi0BbtoofFlcrldo
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Mtr Commr"w 00 913M
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IN 04
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DATE
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