HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: [g-w -6aj?ro
BY
_ St. Lucie County RECEtySD
Building Permit Application APR 3,;0 2018
Planning and Development Services
Building and Cade Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 3t Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xxx Residential
PERMIT APPLICATION FOR: Plumbing III
PROPOSED IMPRO\
Address: 3103 Avenue T
Legal Description: SUNRISE PARK NO 1 BLK 2 LOTS 2 AND3 (0.34 AC) (OR
PropertyTax ID #• 2405-501-0027-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Re -pipe hot and cold to fixtures with CPVC.
(L2 `s)
Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION: IIII
1IHVAC UGas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9800.00
Piping
Shutters Windows/Doors
Generator 11 Roof
S�Ftj. of First Floor:
Utilities: nSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
--Nam landma Riggins—`—
-p a—me�=Reed_Sudderth-
Address: 602 Wisteria Ave Apt A
Company: CRSPlumbing
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-528-3145
Address: P.O. Box 12755
City: Fort Pierce State- FL
Zip Code: 34979 Fax: 772-460-7774
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.
F HIS 1W `1-30-IS
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
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 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
�i'7
Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF stwae
The forgoing instrument was acknowledged before me
this 27 day of RPP , 20 /!�__by
STATE OF FLORIDA
COUNTY OF stt
The forgoing instrument was acknowledged before me
this _?7_ day of PAZ 20 J by
Edward D. Jendon Edward D. Jendon
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public to of Florida) (Signature of Notary PubV State of Florida )
Personally Known
Type of Identification F rc
Commission No. i
1
Revised 07/15/2014
Personally Known F
EDWARD D JENDON Type of Identification Pr D ENDON
MY'COMMISSION"#FF124587- - --- - - - -- •� 1 €-MY-COt�M^M^�IS�SION'#FF124587 - -
EXPAEgMay 19, 2018 Commission No. �•° 'a.Al EXPttsES May 19, 2018
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