HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO^BE ACCEPTED t
Date: —f r Permit Number: �� Y
Building Permit Application
Planning and Development Services APR 191018
Building and Code Regulation Division Perniittin
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Co rtment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
I
PROPOSED IMPROVEMENT LO.CATiQN.: j
Address: 04 ^--# 11,
Legal Description: T.Q,QC Q
Property Tax ID #: 1 `(o�, Y 16JU(k) — Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Sidle: Left Side:
i
DETAILED DESCRIPTION OF W,O:RK: (7/V, ('aI/JAQ lPhr 4N't -fonruSS ow f fflav
CONSTRUCTION INFORMATION: � � �.. CC< � 10- I C.I Ew _l1110ASS 1_A-li;V_r
ACIclitlonai worK to be 5 rformed uncler this permit —check all -that app y:
I_IHVAC L _1 Gas Tank Gas Piping - Shutters ❑ Windows/Doors
l�lElectric Plumbing Sprinklers 1-1 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $5300 • DO—. Otilities: 0Sewer OSeptic Building Height:
OWNER/LESSEE :
CONTRACTOR:
Name
Name: CRAIG MOBLEY
Address: IMP 1
Company: SOUTHERN PLUMBING, INC
City: 1 State:
Address: 4069 43RD AVENUE
Zip Code: 3 Fax
City: VERO BEACH State: FL
Phone No. ' ���
Zip Code: 32960 Fax: 772-978-9843
E-Mail:
Phone No. 772-564-6980
Fill in fee simple Title Holder on next page (if different
E-Mail: SOUTHERN PLUMBING@AOL.COM
from the Owner listed above)
State or County License: RF0067100
it value of construction is .52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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 your paying twice for
improveme is to your property. A Notice of Commencement must be recorded and posted on the jobsite
before th rst inspection. If you intend to obtain financing, conAIt with lender or an attorney before
comm ci g work or recording your Notice of Commlencemeny!/
°_w•Sknaturegf Owner/Aessee/Agent
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The forgoing instry1nent was acknowledged efore me
this IL day of 20 by
(Name of pers acknowledging )
4ignatu r of Notary PubliV State of FIcVda )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. (-Wi96ERLY MAY
MY COMMISSION # FF24
Revised 07/15/2014 i (407) asap 153
rA
rise
STATE OF FLORI(1A
COUNTY OF INDIANRIVER
The forgoing instrumentf as acknowledged before me
this _IL_ day ofAwi 20 L by
0*0-11 IMF ICk.
(Name of perso I hcknowledging )
(Signature kf Notary Public- ate of Flori(ff)
Personally Known OR Produced Identification
Type of Identification Produced
No.
53
KIMBERLY MAY
EXPIRES June 18, 2019
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