HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:ya.4 ti\5 Permit Number: 15 I o1— 0ipt,0 1
ijRECEIVED DEC 111015
SCANNED
J Building Permit Application BY
Planning and Development Services St. Lucie COuntV
Building and Cade Regulation Division ,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 1107 S33rd St
Legal Description:
Property Tax ID #: 2417-214-0007-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Interior renovatiorf.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—checka appil
❑HVAC �GasTank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 6704.65 Utilities. El Septic Building Height:
OWNER/LESSEE:
CONTRACTOR`
Name Cyril Thomas
Name: Reed Sudderth
Address: 9360 101 st Ave
Company: CRS Plumbing
City: Vero Beach State: FL
Address: P.O. Box 12755
City: Fort Pierre State: FL
Zip Code: 32967 Fax:
Phone No. 772-646-2215
Zip Code: 34979 Fax: 772-460-7774
E-Mail:
Phone No. 772-466-7763
Fill in fee simple Title Holder on next page (if different
E-Mail: crsplumbing@bellsouth.net
State or County License: CFC1426853
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ 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 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
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
co irrfeTcine work or-tecordine vous-Xotice of Commencement. a
STATE OF FLORIDA
COUNTY OFsrwm
The forgoing instrument was acknowledged before me
this -f4- day of h CC 20 L5-by
Edward D. Jmdo+-
(Name of person
Notary Public -
Personally Known m
Type of Identification
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF sr—
The forgoing instrument was acknowledged before me
this J day of 00 .20 LT by
Edward D. Jendon
[Name of person
of Florida ) I (_1gnature of Notary Public -
Personally Known -
Type of Identification
May 19, 2018 11 Commission No.
Florida )
EDWARD
EXPR(&a[May 19, 2018
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