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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-COMPLETED BE ACCEPTED All APPLCABLE INFO:MliSt BE FO.R APPUCATION.TO Date o �� 1 �� SCANNED Pertiiit Number-. . , _. _ BY ti St. Lucie County - Build ng:Permit Application Plonnipg and Development.Sefvices Buf(dlri'g and CodeRegulatioii,Divfsion -,( FL 34982; - - - , COr1VflefC d� X' Residential ; Ph e•.rg772 452--1553 Fax�(�72) 462-157a ) PERMIT TYPE: i ' Plumbing, ' ROPOSED IMPROVEMENT LOCATION. _ .f. •._ . ._., . _._ _-v....- -_ .. =sue r. ..c .>. .+. ,.�' j- Address'15607,W Mldway Road; Fi: Plerce,.FL Property TaX lD p:'3201-133-0005-000=0 - - ; Site Plan Name:.- Project Name: St. Lucie Fairgrounds _ - ^. =' _77 DETAILED DESCRIPTIO OF WORK: Instalkplumbmg connec6onsto piefaliiicated bathroan/stiowerbuilding - , CO STRUC*fION INFORMATION: Additional Work -to _beperformed underthispermit-checkallthata ly PSK(itters. Mechanical _Gas Tank. _Gas'Piping _Window s/Doors-, 'y iElectric Plumbing _ Sprinklers _ Geni rator •Roof -Pitch _,, _ Totaf:Sq. Ft of Construction > Sq. Ft-of.First Ftoor= - Cost ofConsirucNon $ 2400 Utilities:; _Sewer Septic' Bwlding Height J _ - . • ' - -- - OWNER/LESSEE: CONTRACTOR: Name Jake060p©r. Namest LUC1606unry Address 2360-Viigmia Avenue Company: C°°per Plumbing Senrices, Inc FY Pierce ' State'FL Address:1322yyoorhisAvenue •` ` Cj}y; Deland State FL '; -- , Zip,Code 34482 Fax: P.hone No. - *24462-1100 Zip Code: ;3272o Fax: Phone No 386 705 4233 ' E Mail: coopetplumbi services@gmall com E-Mail ng -- Fill in fee simple Title,Holder on next paget('if different State or Cdunty LicenseCFC1428i47' fromthe Ciurrteraisted :above) If value of construction Is$2500 or more, a RECORDED. Notice of commencement Is required: If.value;of iMcc ls'S7 So6_gr more, a (2ECORDED Notice.of commencement Is required: _ ._ .RPLENENTWI SOR-TIONIBIENMMIN U, TM ARM.� -DESIGNERJENGINEER -N fAOpkable"-0NCMf bMPANY: 0116b,fe d I Wane: -1 Name! Address: Address , C1tY- State: city. Zip Phone. Zip:;Phone , -.FEE-SIMPLE TITLEHOLDEW. Not Applicable BONDING:COMPANY:._Not -Applicable ,- _,. ;Na-rne:' Name;. Add rew-� Address,:, - -,tl(y. - Lftlo �-�Pho;n& ZIP:, .pKone-- -dWNER/ CONTRACTOR AFF I IDVITi Appikaiiiin Is hereby, made to o - btain a permit to do thework 6Ad Installa tion as Indicated I - l-�_ I 'I'c-e'rtifythaeno_'wok6rifistillati6nhas cbmmen4dfir[6e-toi6e'LUin6o�6fa,-p'er'mtt:- St. Lucid,Coun "Talu entationAhat is geantirig.a permit will authorize the permit holder to build i e"subject structure, gnorepres Association bylaws that'may restrictr such' ibqC -which isinco,7ictwit any applicable Home Owners rules, orancovenants p structure.�Pleaseconsult with your Home Owners Assoclationiand.reviewstrictIons c -your deedfQr any re aA apply. in cbrsideraof'the grants gof this ?equested permit,'I do herebyagnee that) v It, in risp.ectg peifo`rm the _7ork -ilim loicord6iceWlth.the approved plang,the Florida Building Codesand StAucie,County kriendments "bu iiii- wing fhe'foI' -4ng pgrinl6piplications are exempt. from;undergoing a.full concurrency review: n3om additlohs,,'. • accessory. structures, swimming pools, fences, walls; s! gns, screen rooms and accesscirv.use;io another non -resideiniiaf,6ie: "WARNING TO OWNER:,YOUICIFAILURE-10 RECORJD.A NOTICE OF COMMMCEk6ff MAY kEStIkTJ,N__YOL1WPAYING -' TWICEtFOR.IMPRQVEKENTSTO,YOUR PROPERTY. A-NOTICE,OFCOMMENCEMENT-]MUST, BE:RECORDED AND . , . F, Y OU;Mt&VT6.-OBTAW,FINANaNG;4tOi,SULT. -POSTED -ON'-THEJOB SITE BEFORE THE zFIRST INSPECTION. -IF I -..W[Tti--YbURI:ENDEliORAivATTi)RN68'ElfoRiRECORDING YOUR NOTiCEOOCOMMENCEMENT" �,'-."--.�I L gnqtqr� pf Ownerjn�ee/Contractor as Agent for owner nature.of Contractot/ XLicense H Ider STATE OF FLORIDA �COLINTVOF.- L STATE TOFrFLO VDA COUNWrC._ ,Theforf,oingfnst-r�j&Mi-twWaisgtkholWAledge beforrqme -Lr— The forgoing Instrument was acknowledgeAlbefbre me _ihis 20, by day of - this r.'day JOW Wltq b -0i .Name ofpersor! makind state .Tent. g a. emen Name eiiiin making t Personally;Known. OR ProducedIdentifica6on Personally Known OR Produced Identifiatton --- e of Identification Tip Sed AN; -pro 'Type of Ide IflM =17 — r.nL _j�6 m Produce 2 2A (S!gnatpfeof,Not%ryPbblir'State ofFI r o I No Stia!VAR) of kh_ 7, C'Lowr"Rics MMISFSI .-f G mycw�rribore co" on No 5466wftsi N G &s 0. fn ykbk-Sueofflo al rn ilml . GG10% d, &..*djfm0F_* Mka"Aj, - EmpiMSSeP24,2 Y2 REVIEWS FRONT, ZONING, SUPERVISOR. PLANS' VEGETATION SEATUOLFA ANGROVE- COUNTER REVIEW REVIEW REVIEW REVIEW` REVIEW I 'REVIEW DATE: RECEIVED DATE COMPLETED -ReV.' . _V. I v