HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONOct 2616 08:08a CRS Plumbing 772-46n-7774 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: \b�oi�o�ro Permit Number.��
RECE]Vr-:D OCT 2 3 2016
_ SCANNED
Building Permit Application By
Planning and Development services St. Lucie Countv
Boidding and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial XXX Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10535 S Ocean Dr
Legal Description: BEACH CLUB COLONY -SECTION ONE LOT 3 (OR 3312-2687)
Property Tax ID #: 4511500-0006-0D" Lot No,
Site Plan Name: Block No -
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Connect customer provided grease trap. Pipe hot & cold water to fibdures.
CONSTRUCTION INFORMATION:
[tiona wor to e e rme under —checkispermit a apply: (��
MGasTank ❑Gas
GHVAC Piping _Shutters I]Wmclows/Doors
Electric Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S�' �Ft.( of First Floor:
Building Height:
Cost of Construction:$ 2350.00 Utilities.. Sewer0Septic
OWNER/LESSEE:
CONTRACTOR:
Name PeterJ Miller
Name: Reed Sudderlh
Address:26 Hayre St
Company: CRS Plumbing
Address: P.O. Box 12755
City: Westfield State: MA
City: Fort Pierce State: FL
-
Zip Code: 01085 Fax:
Phone No. 772- 75-5191
Zip Code: 34979 Fax: 772-46D-7774
E-Mail:
Phone No. 772466-7763
Fill in fee simple Title Holder on next page (if different
E-Mail: crsplumbing@bellsouth.net
State or County License: CFC1426853
from the Owner fisted above)
If value of construction is $25D0 or more, a RECORDED Notice of commencement is required.
Oct 2616 08:08a CRS Plumbing
u
772-460-7774 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: --- III
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Pleasse� consult wiithpyour Home Owners Also ation and rules,
e IVew your deed or any restrictions vfi'chrestm yapply prohibit such
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
improvementsto 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
rnmmencine work or recording your Notice of Commencement.
_Si ure of Owner/Lessee/Agent
STATE OF FLORIDA
COUNTY OF sa
The forgoing instrument was acknowledged before me
this 26day of OCT . 2D J�Lby
Edmxd D. JendOd'
(Name of person acknowledging)
r�•
(5 g ature of Notary Publ- - tate of Florida)
Personally Know
Type of Identific tits• fttic�yAGBn_I
/ 1 •� My COMMISS�SSsION�II UFF124587
Commission No. }� % IRES MPaq)19. 2Ole
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF suave
The forgoing instrument was acknowledged before me
this 26 day of OCr .20 I by
Edw D. Jendon
(Name of person acknowledging)
(Si nature of Notary Pub c- tea Florida)
Personally Kno —'-- •
Type of I dentifli CKDW RD n _rarunrM
i ;,.: i! MY COMMISSION NEF124507
Commission No.l 9— XPIRES MAM, 2018
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
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DATE
COMPLETE
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