HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAug 31 1511:53a CRS Plumbing 7T_"%-7774 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
i St. Lucie Countv
Sm
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X—
:CEI E
AUG 3 0 201,
---------w
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10551 Ocean Dr 11
Legal Description:
Property Tax ID #: 4511500-0002-000-0
Site Plan Name:
Project Name-
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Install 100 lb 50 gpm grease trap
I CONSTRUCTION INFORMATION: III
I iHVAC "Gas Tank UGas
Electric E Plumbing 11Spr
Total Sq. Ft of construction:
Cost of Construction: $ 1. Y '2 • C b
Piping
Shutters
Generator
S Ft of First Floor: _
utilities:Sewer Septic
( �]Windows/Doors
1_I Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gail LLC
Name: Reed Sudderth
Address:1619 NW River Tr
Company: CRS Plumbing
city: Stuart State: FL
Zip Code: 34994 Fax:
Phone No. T72-229-0046
Address: P.O. Box 12755
City: Fort Pierce State: EL
Zip Code: 34979 Fax; 772460-7774
Phone No. 772-466-7763
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: crsplumbing@bellsouth.net
State or County License: CFC1426853
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Aug 31 1511:54a CRS Plumbing ,
77?A,FO-7774 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 makes no representation that isgranting 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.
Inconsideration 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
improvements to your property. A Notice of Comrr{encement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lenderyr an attorney before
commeneirirwkirk or.reeording vour-Notice of Commencement. _ 1
_ Signature of Owner/
Signature
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF st cow COUNTY OF s—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Au G, . 20 L5-by this P day of A U G . 20 L5— by
Edward D. Jandoli-
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- to of Florida) (Si ature of Notary Publi /S to of Florida )
Personally Known xx
OR PFRaugodadeatiA—':a
Personally Known xx
114F
1-F
Type of Identification
r,.ditlY
Type of Identification PI
Ddct
EDWARD D JEND N
'r _'
MY COMMISSION 8FF124597
{a rF
��
MYCOMMISSION AIFF11245E7
Commission No.
� "
EXPIF"ki,y 19, 2016
Commission No.
EXPIF��I}hay 19, 2016
(40713wolm
FloridaNwary rvim.com
(40r75aeA1S0
FlorideNotan,Serimmm
Revised 07115/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS