HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr .%
ALL APPLICABLE INFO MUST BE
Date: 3-16-16
Permit Number: \6a*�. GOS I
® _ SCANNED
' Building Permit Application BY
St. Lucie County
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 yes Residential
PERMIT APPLICATION FOR: Plumbing
Address: 5053 Turnpike Feeder Rd, Fort Pierce
I oaal nocrrintinn• LAKEWOOD PARKUNIT 12ABLK 179 LOTS 10, 11, 12,13 AND
14LESS SELY 15 FT( MAP 13/13N) (OR 32461171; 36802577)
PrnnPrt%,Tav In #• 1301-615-0221-000-0
rites Plan Nnma-
Prniart Names• Grease Line
Setbacks Front Back: Right Side: Left Side:
Installation of grease line
Lot No.
Block No.
Aaamonal worK Lo oe
0HVAC
enunneu
uuuer uio Pci nun — au
E]GasPil-
rrlr•
Windows/Doors
Gas Tank
-
_Shutters
❑Electric �✓
Plumbing
Sprinklers
E]Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ b .11ll�
S Ft. of First Floor:
Utilities:n Sewer 0 Septic
Building Height:
;OWNER/LESEEQwner_; .F r;GONRAGOt,'`
Name TD Bank N.A.
Name: /►lA�lC L' AP E
Address:380 Wellington ST , 12th Floor
Company: Cape Plumbing, Inc
City: London State:ON
Zip Code: N6A 5B5 Fax:
Phone No.803 542 0146
Address: 551 NE 28th Court
City: Pompano Beach State: FL
Zip Code: 33064 Fax:
Phone No. 239 314 8444
E-Mail: Sweeny, Leigh A <Leigh.Sweeny@td.com>
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: capeplumbing@aol.com
State or County License: Florida CV , (Li206clAI .
If value of construction is 52500 or more, a KELUKUGU Notice Oi Lommencemenz rs requireu.
%
SUPPLEME(�TAL
CONSTRUCTION LIEN. LAW (NFORIVIATION: e
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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 cbncurrency 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
_ SignMture of Owner/ Lesse Sign:
STATE OF FLORIDA I �, STATE OF FLORIDA ,,, ,�_n
COUNTY OF ((�C� L .f o� l �c1 >1 COUNTY OF W r
u " ri T O� The forgoing instru ent was acknowledged The forgoing instrpment was � acknowledged before me rlq oi
&_. g before me
thisl day of 20 J Lby this, day of Q V 20 by
:-State of Florida )
OR Produced Identification
(Name of
Type of
of Florida )
Prod
(Seal) I Commission No. 1(�W
Bended through 1st State Insurance
14
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS