HomeMy WebLinkAboutBuilding Permit Application 08/21/3015 12:43PN FAX 7726217882 ALL CITY PLUMBING TWO 00002/0004
ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number:. 5 RECEIVED AU6 21 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line -PROPOSED IMPROVEMENT LOCATION:Address- 183 NE Caprona Ave Legal Description: River Park Unit 4 131k 40 Lot 6(Map 341216)or 1482-2800)PropertyTax]D#: 3419-530-0228-000-7 Lot No.Site Plan Narn,.,- River Park Block No. 4 Project Name:Setbacks Front Back: Right Side:. Left Side:DETAILEDDE8CRIPTION.OF WORK:.Convert Bathroom Sink from one sink to double sink vanity and replace tub in existing location.Provide necessary plumbing to accommodate conversion of sink(s)and hook-up sinks, hook-up tub.F 'NSTRUCT16k INFORMATION:i�o�wsig ux FIHVAC LJ Gas Tank 713as Piping 1i Sh utters 7 0 Electric Z Plumbing [:]Sprinkl6rs E]Generatdr F1 Roof Total Sq.Ft of Construction- So.Ft.of First Floor:Cost of Construction:$ 1,400,00 Utilities:[]SewerF—]Septic Building Height:OWNERAESSEE: CONTRACTOR:Name Robert and Carolyn Dols Name. Jason Parish Address:183 NE Caprone Ave Company: All City Plumbing Two, Inc.City: Port St.Lucie State:FL Address: PO Box 880641 Zip Code: 34983 Fax: City: Saint Lucia West State:FL Phone No.772-631-3038 Zip Code: 34988 Fax: 772-821-7882*E-Mail- Phone No. 772-631-3038 Fill in fee simple Title Holder on next page(if different E-Mail: holly@ailcityplumbingtwopst.com from the owner listed above) State or County License. CFC1427492 It value of construction is$2500 or more,a RECORDED Notice of Commencement is required..
08/21/2015 12:43PM FAX 7726217882 ALL CITY PLUMBING Two Ia0003/0004
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State..
Zip: Phone: Zip; Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 nonresidential 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.
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S
Si ri to of owner/Lessee/Agent Sign 15 f Contractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sant Lucre COUNTY OF sant Lucie
The forgoing instrum ret was acknowledged before me The forgoing instrument was acknowledged before me
this day of zp lily this day of zo 15 by
Jason E Parish 1 Jason E.Parish
(Name of person acknowledging) (Name of person acknowledging)
( nature of Nota ubllc-State of Florida) (Sig ure of Notary ic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced _ Type of Identification Produced
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Commission No. EE643699 I ( L m fission No. EE843699 V' *WWA L BUTM
i! 1 MIy COMMISSION f! nAY CQMMIB$IOfd 11 !!
10
Revised 07/15/2014 °fes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS