HomeMy WebLinkAboutBuilding Permit Application Apr 28 15 07:17p CRS Plumbing 772-460-7774 p.2
ALL APP ICABBVLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `V ` -Permit Number: r6�
L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: ,'Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2496 Harbour Cove Dr
Legal Description:
PropertyTax ID#: 1425-701-0064-300-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front BacYN: T Right Side: Left Side:
n:
DETAILED DESCRIPTION OF WORK:
Replace existing 40 Gal Elec-?ric HWH
CONSTRUCTION INFORMATION:
itiona wor to e e Orme under tispermit—check all appy:
OHVAC Gas Tank 4. ❑Gas Piping _Shutters ❑Windows/Doors
U Electric 0 Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 850 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ignacio Arribas Name: Reed Sudderth
Address:416 Chatham T Company: CPS Plumbing
City: West Palm Beach State:FL Address: P.O.Box 12755
Zip Code: 33417 Fax: City: Fort Pierce State.FL
Phone No.954-383-4198 4 Zip Code.• 34979 Fax: 772-460-7774
E-Mail:' Phone No. 772-466-7763
Fill in fee simple Title Holder on next page(if different E-Mail: ersplumbing@bellsouth.net
from the Owner listed above) State or County License: CFC1426853
if value of construction is$250D or more,a RECORDED Notice of Commencement is required.
Apr 2815 07:17p CRS Plumbing 772-460-7774 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: it State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: ,Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation hn 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 yo*intend to obtain financing,consult with lender or an attorney before
commencing work or recording o otice of Commencement.
s
_Signature of Owner essee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr• Luc-i e" COUNTYOF -ST. Lucre
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Q PR ?2C Lby this Z8 day of AN- 20 15 by
Edward D.Jenc!4-
(Name of person acknowledging) (Name of person acknowledging)
A 1114
(Sidnature of Notary Publ[ Sthte of Florida) (Si nature of Notary Publ c-5 ate of Florida)
Personally Known dem io Personally Known >( 'cation
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Type of Identification rreiUrif:, Eb1 Type of Identification Pro
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law
t t My COMM!SSION#FF124587 y• � tiZY 1+�1�IS5�0 #FFt 4
Commission No. ' ... I Commission No. •` ... 2 587
EXF'I May 19, 2018 r _ EX IE May 19, 2018
i4o) Flo idallocaryService.com Flor dallotaryseryl
Revised 07/1512014
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