HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services
Building & Code Regulations Division ScA/v/v�Q
2300 Virginia Ave. S BY
.XRem Fort Pierce, FL 34982 `fit LLICie C
(772)462-1553 °Unfy
SPECIALTY PERMIT APPLICATION
❑ Electrical P1 Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instruc&ons and additional paperwork requiredfor
jsspeCtaity permits
1. Location/Site Address: 5 C40U 5-Laa r /I i D 1%YL El
2. Parcel ID Number: 3 L) b2- -(p09 - 6 G Ce ;2 - G eG
affice iIS a
Only
Section
Township
Range
Map Page
Tuning
LandUse
Initials
.
3. Complete Description of Project or Work: 1 A n . I_—
-G2hyn �kJt L•.c.)a-.tit YYLP--tL. o Cann11�7 ik� i CYI �n.�cr ryr.� P
1.1 lr;f� P az V i cia
4. Owners information 5. Contractors Information
Name: John YY1,Q. V1 FL Reg/Cert #:
Address: S 308 ft" ha . County Cert#:
City: El 21.t ex— _ State: FLI
Zip: 314 9 Phone: 2W —'7(076
6. Value of Construction: S
Business Name:
s
Phone: 77Z-7Z az: -772--ZZ5--& 77`�.
OWNER'S AFFIDAvrr: I certify that all of the information contained in this application is correct and that all work will be done in
�� �if compliance with all applicable laws regulatnons"ch
d zoning.
Lbn nA� 1. 1 �`FEA /1
PRINTOWNER OR CONTRACTOR NAME GNATURE Ag.QR o7 cokkAcToR
STATE OF FLORIDA, COUNTY OF YY10-e7&- ► i
ACKNOWLEDGED BEFORE ME THIS DAY OF mblit, 20_ I3 . BY Lon !1_ LL I.C.L.I ofl.l2.-Zn
WHO IS PERSONALLY KNOWN TOME 'L/OR WHO HAS PRODUCED
AS IDENTIFICATION. c '"L JACLYN F WILSON
Q.� i �`c MY CO k�SION # EE040747
S At�
T OFNOTAR TYPE OR NAME OF NOTARY EXPIRES November 08, 2014
CO1,&ffSSI0NNUMBER E:9 a40-7Ll1 (ao�j3se-oils FlorldallotaryServke.cam
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
EffROVEMENTS TO YOUR ,PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WIM CONTRACT UNDER $7500.00
Revised 04/26/2010
Sep.09.2013 02:45 PM JEy an Beach Plumbing 772225(77,1PAGE. 2/ 3
Date q^/b � 3 1 Tee Due.4 FS, 2 1 Permit # 130R-,009V
Planning & Development Services
` I Building & Code Regulations Division
2300 "Virginia .Ave.
!tort Pierce, FL 34982
(772)462.1553
SPECIALTY PERMIT APPLICATION
❑ Electrical 0 Plumbing ❑ HVAC ❑ Fence
❑ Shed 0 Demolition ❑ Gas ❑ Siding
;fee page 2 for huirraefions and additional paperwark requirad for speclaW permits
1. Location/Site Address: �14Qf1gQlr
h-' � P._
-
2. Parcel ID Number: 34 b2 —CoC9 -- a 6 CQ 2 66 --I
only
Township
Range
Map halo
Zoning
Land Use
I
3. Complete Description of Project or Work: 3LC — 74IVY" p yr, gut) 0J Q g
hwl �itr: gcb �n YYIl �ni c, gZ D
4. Owners information S. Contractors Information
/1
Name: • 16 h n Q J 1 m.a V-) FL Reg/Cert #: g�/ —
Address: County Cert#: 5V
City: � - --- ►P-L' �1....... . State: FL, Business Name: SJ4.tZ�S P,t7 &drit-
Zip: ,3 L) 9 9' Phone: Nob —70 76 Phone:
6. Yalu of Construction: $
owNER% AFFIDAVrr: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable laws regulati ons oti rgid zoning.
PRINT OWNER OR CONTRACTOR NANM = C3NATURIOU4AYNSRIL O C&TrRACTOR
STATE OF FLORTDA, Ctn7NTY OF CrL 12..E ✓1
ACKNUwLEwr,D mFoRG ML rms ! myoil
WHO IS PERSONALLY KNOWN TO ME _ZOR WHO HAS PRODUCED
AS IDENTIFICATION. P
_ o JAGLYN F WIL80N
0-1— MY COMPION ff EE040747
S AT[JR'OFNOTAR TYPE ORPRINT NAME OF NOTARY EXPIRES November 08, 2014
COe,; 64047 34A•0153 Plpid�NOtll Qwea,wm
IvJIvQSSiON I`rlrMe�R
NOTICE TO OWNER; FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND To OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEF'ORIC RECORDING YOUR NOTICE OF COMWNCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITII CONTRACT UNDER $7WA0
Revlsed 0412G2010
M
M V
WATT
Comm
f=7
F4
SEWER
RSS
w
_
� NMER SZ.
MIF
IRR
s 14cc)
o
_ e
SECFRM DW
SERVICE FEE
a
SAME DAY FEE
n
OVERMAEM
Ln
N
N.
GT•CAMMR
N
r`
EPUA CFC
r`
C FCZEWWFR
GUAR. REV
�
LATnItA�
�
TOTAL
�srOn�x
P4
a
SIGNAalm
p
1vAM8 OF SPO
= LUCM +Ct3tlMrY UTHXKDCS- P.O-sox M&I?T. P=81= FL349n
NABS$ - ±_IMAv 34.1 t? -
Acr-T- 8 $O -- 5D QD-
SERVFC AMRM S �e� e Pr.
EA
I0 V - Ni
Thu applwah m hereby requast and sathovi= the TARW to radar water amdkr awage &poasl
sargnees to the premms descnlmd above is acoardance wAh the Utititpm pit or fixture Mim,
rules and regulations, whicb by refa== am made a part of this aonhact: Appiicaat agrees to }salt
&e LiIMV in ttp far ssuh awrkrs ik aacadz=e wiffi the esE b&bed sales aad regaIatie=
CUSIOM SS DE PE3SIls ARE NON'NEfiOT ABLE OR iRANSFEItABI.E.
ni
11 OMCE i
DAIS RE{IVID CASH
h�
Ln a
m
N �
O
m
0
M cti
ri
-
N
O cn
N
O
F ` 2-2S-(,q- -7S4q
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
Receipt
Online address: http://www.stiucieco.org/planning/permitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Daily Inspector Schedule
Date: September 10, 2013
Receipt #:
0000094610
Permit Number:
1309-0098
Job Address:
5406 SEAGRAPE DR
Amount:
$85.26
Paid With:
VS
Credit Card #
2270
Paid By: JENSEN BEACH PLUMBING
Received By: eileenn
Fee Description
BIMS651 06-BIMS
Permi745 06-Permit Fee - Plumbing Permit (1 & 2 Family Residential)
BPSur940 06-BP Surcharge - Permi745 - Plumbing Permit (1&2 Family Res)
BPTru999 06-BP Trust Surcharge - Permi745 - Plumbing Permit (1 &2 Fam Res)
Credi15 Credit Card Fee - 1.5%
Total:
Fee Amount
$5.00
$75.00
$2.00
$2.00
$1.26
$85.26
9/10/2013 8:27:58 AM
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
J \ /
BUILDING PERMIT
Online address: http://www.stiucieco.org/planning/permitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit #: SLC 1309-0098 Confirmation #: 988 Issued: 9/1012013
Job Location: 6406 SEAGRAPE DR City: FORT PIERCE
Permit Type: Plumbing - Residential Status: ISS Date Expired: 0311012014
Job Description: RUN 78FT OF 3/4" PVC S40 PIPE FROM HOME TO WATER METER TO CONNECT HOUSE TO
MUNICIPAL WATER SERVICE.
Subdiv: Indian River Estates Unit 8
Lot: 4 Block: '54 Parcel: 3402-609-0062-000/4
Setbacks Left: Right: Front: Rear: Zoning:
Number of Units: Floors: Buildings: Square Footage:
Flood Map: Flood Zone: Elev:
Contractor LONNIE J CULBERTSON JENSEN BEACH PLUMBING INC (772) 528-4740
1080 CRESENT ST JENSEN BEACH, FL 34957
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Property Owner John Allman (772) 260-9670
5308 Seagrape Dr Fort Pierce, FL 34982
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those
for all electric, plumbing, mechanical, roofing and structural work. Further he/she acknowledges responsibility to comply with all requirements of the 2007 Florida
Bulding Code and the St Lucie County Land Devlelopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved party by filing a notice of appeal with St. Lucie County
Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St. Lucie County Land Cevelopment Code, Section
11.11.00., Appeals.
Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a
satisfactory Inspection within six (6) months from the date of issuance of the permit or if the work is not completed within 18 months (permit by contractor) or 24
months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this
county, and there may be additional permits required from other governmental entities such as water management disitricts, state agencies, or federal agencies.
s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. a NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY. BEFORE RECORIDNG
YOU NOTICE OF COMMENCEMENT. s:713.135 (10(a), F.S.
Kenneth Arnold
Building Official
Date
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
Phone:(772)462-2172 Fax:(772)462.6443
Inspection Card
Permit # : 1309-0098
Online address:
http://www.stlucieco.org/planning/permitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit# SLC- 1309-0098 #Confirmation 988 Status ISS
Issued: 9/10/2013 Type: Plumbing - Residential
Job Location: 5406 Seagrape Dr City: Fort Pierce
Jurisdiction: Saint Lucie County Parcel: 3402-609-0062-000/4
Subdivision: Indian River Estates Unit 8 Lot: 4 Block: 54
Flood: Elev: Flood Map:
Set backs: Left: Right: Front: Rear:
Job Description: Run 78Ft Of 3/4" Pvc S40 Pipe From Home To Water Meter To Connect House To Municipal Water Service.
Contractor Lonnie J Culbertson -- Cert # 24654 Jensen Beach Plumbing Inc (772) 225-6600
836 Ne Pop Tilton Place Jensen Beach, FL 34957
Property Owner John Allman (772) 260-9670
5308 Seagrape Dr Fort Pierce, FL 34982-7460
SUB -PERMITS
Permit No Status Permit Type Cert # DBA Owner/Builder Job Desc.
For the automated inspection system call (866) 284=14280. To schedule an inspection online go to
http://codeinspectionpublic.stlucieco.gov. All inspections requested prior to 9:00 PM will be scheduled for the next business
day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you
require any assistance please contact the Building Department at (772) 462-2172.
Inspection Notes:
Permit # Type Description Priority Sched. Date Res Description Inspector
1309-0098 480 Plumbing Final 1
1309-0098 999 Final Inspection 1
Total Inspections: 2
Insp. Date
Report prepared on 9/10/2013 8:28:06 AM