HomeMy WebLinkAboutBuilding Permit Application Aug 1715 03:00p CRS Plumbing 772-460-7774 p.2
ALL APPLICAB INFO M BE�(}MPLErED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S _ J'
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xx
i
PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3335 Sunrise Blvd'''
Legal Description':
Property Tax ID#: 2428-601-0264-000-3 i' Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks~ Front Back: Right Side: Left Side:
FDETAILED DESCRIPTION OF WORK: jK t Ten-s To S e__ /307`H 33.3 S—
Interconnect new water meter to residence.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit—check a appy:
QHVAC F]Gas Tank []Gas Piping Shutters Q Windows/Doors
Electric 0 El
Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S". Ft. of First Floor:
Cost of Construction:$ 950 Utilities: Sewer[ Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Rita B Slikelether Name: Reed Sudderth
Address:801 S Ocean Dr #1001 Company: CRS Plumbing
City: Fort Pierce State:FL Address: P.O. Box 12755
Zip Code: 34949 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34979 pax: 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 ftotice of Commencement is required.
Aug 1715 03:00p CRS Plumbing 772-460-7774 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ERIE NGINEER: _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,1 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 insp4cVqn. If you intend to obtain financing, consult with lender or an attorney before
com n work drre)borcling vqlLr Notice of Commencement.
5
—Signature of Owner/Lessee/Agent Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,,5T. Lt)G(E COUNTY OF Sr. Luer
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of atm, 20 f5by this ( l.day of AjC, 20 _L5 by
Edward D.JendC4- Edward D.Jendon
(Name of person acknowledging) (Name of person acknowled ing)
(9
ignature of Nota (S nature of Notary P 4 ' H
r
a� ''� EDWARD D JENDON rte''" •�� EDWARD D JENDON
Personally Known X ;•I r�tittt�ekWeatiitaaltf�tr2aes7 Personally Known PyQdlypedpll�1 )kIG
Type of Identificatio a ti o1 8 Type of Identification n per'`"
1407)W64153 Florldallota Seroice.com (407)39"153 Rori Not Mce.cam
Commission No. ea Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
E N ITIALS