HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVLam,D
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Building Permit Application JUN I 12015
Planning and Development Services PERMITTING
TING
Building and Code Regulation Division
St. Lucie Couniv. -L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED I°IVhPROVEI E, LOCATION:
Address: 3413 Crabapple DR
Legal Description. FAIRWAYS AT SAVANNA CLUB
Property Tax ID#: 3424-800-0186-000-4 Lot No.
Site Plan Name: Judith C Giordano Block No.
Project Name: Judith C Giordano
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION,''OF WORK ,
40GAL ELE WATER HEATER
CONSTRLICTION:INFORMATION r}
Additionalwork tof e nertormed under this permit—check a apply:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 500'.00 UtilitiesSewer Septic Building Height:
OWNER/LESSEE: `CONTRACTOR`:
Name Judith C Giordano Name: ERIC NERENBERG
Address:3413 Crabapple DR Company: SERVICE AMERICA
City: PORT SAINT LUCIE State:FL Address: 2755 NW 63RD COURT
Zip Code: 34952 Fax: City: FORT LAUDERDALE State:FL
Phone No.954-610-3505 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 EXT 5673 .
Fill in fee simple Title Holder on next page(if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CFC056891
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S.UP:PLEMENTAL GONSTRU.CTION LIEN L4W INFORMATION: '.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 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. you intend to obtain financing, consult with lender or Vttorney before
commencingwork or rec din our Notice of Commencement.
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�";'�T Signature f- ontr c r/Llcen_T' ld
_Slgnatur 'of 0 er/?L'essee/Ag pt,�� _
STATE F FL RIDA STATE F FLC A
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this 6 day of 6 20 by
ERIC NERENBERG A ERIC NERENBERG
(Name of person acknowle g'n ) (Name of person ackno dgi
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a
(Signatur�' Not I i c £ a of lorida) (Sign-' a of of P I' State of Florida)
Personally Know Produced I Person Known OR Produced Identification
Type of�ldentifi Typ f Identificatio roduced
M��Y Pyr'•- MY COMMISSION#FF 072984
Commis ' No. =+: ''_ S:NovegjMA,2017 Commission N ICA DOTS
17
IF dTbruWtaryPoblbUn- riters . „�-
ftF��` Ronde MY COMMISSION#FF 072984
CVD10CQ-K1,eMhLr 25 P017
Bonded Thru Notary Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS