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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
R
Building Permit Application JUL 2 2j-2095
Planning and Development Services PERPl1Ci s iitd�
Building and Code Regulation Division SL LuC1e Coup.,
2300 Virginia Avenue,Fort Pierce FL 34982 —
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IIVIPROVEMENT;LO'CATI'ON: .< =h A
=ate .
Address: 7092 TORREY PINES CIR
Legal Description: POD 713 REPLAT AT THE RESERVE PUD I TORREY PINES LOT 4D(OR 142-1152)
Property Tax ID#: 3322-504-0015-000-3 Lot No.4D
Site Plan Name: Service America S Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK r>
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W/H CHANGE OUT RHEEM 50GAL 450OW
CONSTRUCTIOtN INFORMATION
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Additional work to e e orme under this permit–c ec a appy:
HVAC Gas Tank ❑Gas PipingMGenerator
Shutters Q Windows/Doors
Electric 0✓ Plumbing Sprinklers Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 550 Utilities"nSewer Septic Building Height:
OER/LESSEE4 C
.UVNONTRACTOR
Name Emma Miranda-Perez Name: ERIC T NERENBERG
Address:7092 Torrey Pines Cir Company: Service America
City: Port St Lucie, State:FL Address: 2755 NW 63rd CT
Zip Code: 34986 Fax: City: Ft. Lauderdale State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 X5673
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.
ISUP,PLEMENTAL 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 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 thepermit 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 y intend to obtain financing, consult with lender or an torney before
commencing,work or recordi our Notice of Commencement.
s
_Signal °f Ow r' Lesseee g Sigriature Y-Conti- "r/License.Holder
,,, e.
STATE O FLORI A STATE OF FLORI A
COUNTY OF COUNTY OF
The f, oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of `� 20 _f_ this )i day of 20 Iib
S 7C[SUN ig1;�r'>p; JESSICADOiSON
�J eve, M•r CbMMISSION#�F U72984 MY COMMISSION k FF 072984
�` as avSrn4ic.r 26,;1017 _.: _
EXPIRES:November 25,2017
(Name of person a ' ' &ndsd11itu (Name of person ac n Bonded ThruNotary Publicundenuriters
1
Lyp
nature f Nota ublic-State of Florida) (Sign�(ure Not ublic-State of Florida)
on y Known OR Produced Identification Pe ssonall Know OR Produced Identification
Identification Produced Tye of dentific ion Produced
I
mission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS