HomeMy WebLinkAboutBuilding Permit Application Jun 3015 06:15p CRS Plumbing 772-460-7774 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED F
Date: Permit Number.
Building Permit Application
Planning and Developm ent Services
Building and Code Regulation Division
2300 Virginia avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial XXX Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9815 S Ocean Dr
Legal Description:
Property Tax ID#: 4502-501-1604-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Relocate D/W 1 Move sink/supply new drain & Hot/Cold/rework w/c to meet code.
CONSTRUCTION INFORMATION:
Additional work to be e orme un er t is permit—check all appy:
HVAC ID Gas Tank ❑Gas Piping ❑,Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers E l_Generator ❑Roof
Total Sq.Ft of Construction: Sq.Ft. of First Floor:
Cost of Construction:$ 1700.00 Utilities:�nJ Sewer Eheptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Breton Waverly Corp Name: Reed Sudderth
Address:9815 S Ocean Dr#2 Company: CRS Plumbing
City: Jensen Beach State:FL Address: P.O.Box 12755
Zip Code: 34957 Fax: City: Fort Pierce State;FL
Phone No.561-818-7237 Zip Code: 34979 Fax: 772-460-7774
E-Mail: Phone No. 772-466-7763
Fill in fee smrple7itle Holder on next page(if different E-Mail: crsplumbing@bellsouth.net
frorn the Owner fisted above) State or County License: CFC1426853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun 3015 06:16p 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: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable 86NDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto 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 conflictwith anyapplicable Home Owners Association rules,byfaws grand covenants that may restrict or prohibitsuch
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 you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
_Sign ure of Owner/Lessee/Agent Signature of n ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint Lucia COUNTY OF sa —
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 30 day of t 1 UN . 20 IS" by this 30 day of Jut'i .20 15 by
Edward D.Jent!4- Edward D.Jendon
(Name of person acknowle ing) (Nmerson acknow in
C.tJ
( ignature of Notary Publ' -5 ate of Florida) { ' nature of Notary Public-St t of Florida}
PersDnally Know 10 Personally Known ro Ott JE
tion
Type of Identific tion dl+kcna�il�siew �`i Type of Identification
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+� R°' ' EXPIRES a 19, 2018 �e �� E?CPIA
Commission No. eydl} Commission No. aM1d'^ EI§W?y 19,2o18
toriCaNal NyService.com 1Aozlsaeorsa Fiar+dallota Servlceoorn
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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