HomeMy WebLinkAboutBuilding Permit Application 05/13/2015 2:33PM FAX 7726217882 ALL CITY PLUMBING Two la0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5113/2015 Permit Number:
( w. 7Monvrr P wed 4
- RECEIVED MAY 13 205
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34.982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line v
'PRO;POSED:.IMPRO1-15
VE:NIENT:LOCATION: . . .. ,. .. .. . . ;.. ,... . : ,:< ,., ..:;:.
Address: 9:%Perigrine Falcon Drive
Legal Description: Fairways at Savanna Club Replat No. 1 (PB 57-40)BLK 67 LOT 10(OR 2470-758)
Property Tax ID#: 3424-8004)041-000-6 Lot No.10
Site Plan Name: Block No. 67
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.:OF�WORK :
Install Electric Tankless Steibel Eltron Tempra 24 Water Heater (specs attached)
to.
NSTRUCTION.INFORMATION: ;
itiona wor o e orme under this permit-- checkk all appy:
❑HVAC Gas Tank aGas Piping _Shutters Windows/Doors
1-1 Electric Ir lJ Plumbing Sprinklers 13 Generator 0 Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,600.00 Utilities:liSewer 0 Septic Building Height:
CONTRACTOR:.`
Name Howard Hershkowitz _ Name: Jason C.Parish
Address:3259 Perigrine Falcon Drive Company: All City Plumbing Two,Inc.
City: Port Saint Lucie State:FL Address: PO Box 880641
Zip Code: 34952 Fax: City: Saint Lucie west State:FL
Phone No.772-678-9631 Zip Code: 34988 Fax: 772-621-7882
E-Mail: Phone No. 772-631-3038
Fill In fee simple Title Holder on next page(If different E-Mail: holly@allcityplumbingtwopsl.com
from the Owner listed above) State or County License: CFC1427492
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
05/13/2015 2:33PM FAX 7726217882 ALL CITY PLUMBING Two IR0003/0005
SUPPLEMENTAL CONSTRUCTION LIE
N IAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: state:
Zip: Phone;_ Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable .
Name: Name:
Address: Address:
City Cly.
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,l 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
commencine work or recording our Notice of Commencement.
S' re of Owner/Les Agent Sign tura f Contractor/Lic#Ke Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-int Lude COUNTY OF 8-Mlucio
The forgoing instr mens was acknowledge efore me The forgoing instrument was acknowledged before me
this fL►day of 20 by this Im day of Mry 20 16 by
Jason E.Parish 1 Jason E,Padsh
(Name of person acknowledging) (Name of person acknowledging)
( ature of Nota blic-State of Florida) (5i _lure of Notarylic-State of Florida)
Personally Known `� OR SQaducedidentification Personally Known ✓ OR Produced Identification
Type of Identification Produce Identification Prod c
Commission No. EEe43699CA3 )C011AMifiSIpM# fission No. EEea My1 �1Y�! '
lZcP0t80VA berl 2 A.•Iollarl�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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