HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ �' �' �9 Permit Number: ' Q �J
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Building Permit Applicati Nov 0 4 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: PLUMBING
rPROPOSED IMPROVEMENT LOCATION: J
Address: 7180 S. US HWY 1
Property Tax ID #: 3422-123-0001-000M
Site Plan Name:
Project Name: DOLLAR GENERAL STORE
[DETAILED DESCRIPTION OF WORK:
NEW LANDSCAPE IRRIGATION BASED ON PLANS DATED: 6.20.19
Lot No.
Block No.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit -check all that apply:
_Mechanical
_ Electric
s'ank
plumbing
—Gas Piping
_ Sprinklers
Total Sq. Ft of Construction: `r/ 00 S i
Cost of Construction: $ 15,000.00
_Shutters _Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor: 2; /AO
Utilities: _Sewer Xr Septic Building Height: �o
OWNER/LESSEE:
CONTRACTOR:
Name SG T ST• Z-04A E. Lz e-
Name: GUY WALLIN
Address: B 2 Ana.
Company: THE INTEGRITY PLUMBERS. INC
City: ` )Aplw ?. State'AL
Zip Code:a&!qa (- Fax:
Phone No. 361- * - 13-
Address:9208 SUN POINTE OR
City: BOYNTON BEACH State: FL
Zip Code: 33437-3352 Fax:
PhoneNo561-445.0031
E-Mail:?� �Y�,�dcad.v� �nrP.csm
Fill in fee simple Title Holder on next page ( If different
from the owner listed above)
E-Mail GUYWALUN@AOL.COM
State or County License CFC057158
If value of construction is $2500 or more, a RECORDED nonce of Commencement is nequircu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE NGINEER:
Name: ® b
Not App icable
MORTGAGE COMPANY: _ Not Applicable
Name:
Add re
9
Address:
City; '• Ts
Zip:
State:
City: State:_
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City;
city:
Zip: Phone:
Zip: Phone; -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Countv malt no repre,entadon that is granting a Permit will authorize the ermlt holder to build the subject structure
which Is in co llict wit anY applicable Home Owners Association rules, bylaws or anscovenants 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 additlons,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARIMG TO O R: YOUR FAILURE TO RECORD A NOTICE OF CONUMCEMENT MAY RESULT IN YOUR PAY=
THHCE FOR milpRovuRNM To TOUR PROPERTY. A NOTICE OF COMMENCEBIENT MUST BE RECMEB Arm
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIOX E YOU VMND TO OBTAIN FBIIAMmOG, CONSULT
MM YOUR LENDER OR AN AETORNET BEFORE RECORDING TOUR NOTICE OF COMMENCEMENT?
Owner Slgnatur of Contractor/License Holder
STATE OFfl:GRIBRyi' A4)f I STATE OF FLORIDA '
COUNTY OF A& ] Wt6j 1 COUNTY OF C�A,-,. z4ax,k
She forgoing Instrument was acknowledged before me
thlk,A&May of 20/f by
Name of person making statement.
PersonallyKnown ✓ OR Produced Identificatign
e of Identification �
SYP .. _.r�A Jn. •.
Commission No.
N eP.
'ea LlC
P•
The fo Instrument was acknowledge beforeme
thI day of kL&A 201 by
Name of llperson making element.
Personally Known OR Produced Identification
Time of Identification
2UI14
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