HomeMy WebLinkAboutBuilding Permit Application 1292915 01:29'0 " CRS Plumbing 772-460-7774 13.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � �
Date: -7-z9-l S Permit Number. P-7
Building Permit Application
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 XX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 11885 Twin Creeks Dr
Legal Description:
Property Tax 1D#: 2333-601-0016-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 50 Gal electric HWH
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
DHVAC 0]Gas Tank []Gas Piping _Shutters Q Windows/Doors
U Electric F-1 Plumbing Sprinklers ElGenerator 0 Roof
Total Sq.Ft of Construction. Sq.Ft.of First Floor:
Cost of Construction:$ 750 Utilities:L_.._!Sewer E:]Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name Sharon/Nancy Stamm Name: Reed Sudderth
Address:11885 Twin Creeks Dr Company: CRS Plumbing
City: Fort Pierce State:FL Address: P.O.Box 12755
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No.772-577-5278 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: CFC142BB53
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jul 291501:30p • 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 BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature o C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Stacie COUNTY OFstuda
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28 day of Jul 20 'l5 by this zs day of �`� .20 15 by
Edward D.Jendo[- Edward D_Jendon
(Name of person acknowledging) (Name of person acknowledging)
C�sG.ii�tG(J�
(S nature of Notary P V
State of Florida) (S(gnature of Notary Publi -S to of Florida)
Personally Known bL OR Produced Identification Personally Known 14 OR Produced Identification
Type of Identification, ai d Type of Identificat n•�nv
ARD 0
Commission No. ') MY COMM§ I1#FF12a587 Commission No.
MY COMM1Si�IFFi2a587
f ,Z PIRES May 19,2018
•.., PIRE May 19,2018
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Revised 07/15/2014
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