HomeMy WebLinkAboutBuilding Permit Application Jun 101501,27p CRS Plumbing _ 772-4,60-7774 p.2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: (' / U ' V57 Permit Number: CC/7 0
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Building Permit Application JUN 10 2015
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: 531 Tropical Isle Circle
Legal Description:
Property Tax ID#: 3410-508-0153-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 30 gallon electric HWH
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—c ec a apply:
HVAC F]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric O Plumbing OSprinklers Generator O Roof
Total Sq.Ft of Construction: SFt"of First Floor:
Cost of Construction:$ 750 Utilities:Sewer Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Tropical Isles Co-op Inc Name: Reed Sudderth
Address:281 Tropical Aisles Dir Company: CRS Plumbing
City: Fort Pierce State:FL Address: P.O.Box 12755
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No. 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: crsplumbing@bellsouth.net
from the Owner listed above) State or County License: CFC1426853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun 101501:27p CRS Plumbing 772-460-7774 p.3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 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 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,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 exemptfrom 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
commencing work or recording our Notice of Commencement.
s
_Signature of Ownerl Lessee/Agent Signa re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of Jun , 2d 15by this 1° day of ''' .20 15 by
Edward 0.JendorlL-
(Name of erson acknowledging) {Name of person ac o ledging I
(sidoature of Notary Public-tof Florida) ( gnature of Notary Pub l' -S to of Florida)
Personally Known ";jlv! P fi Person II r ation
5�b �� �
Type of Identificati ;r � l 5 Type of In � I t3Rt1K
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EXPIRE EXPIRES EXPIRES May 19,2
Commission No. �wN,� y 19, 2018
1� Commi sio'Ft �: al
A Ji FloMallotaryService,com amlaryserr+ce.eom
Revised 07/15/2014
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