HomeMy WebLinkAboutBuilding Permit Application A
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 09-- C2
46r
RECEIVED
Building Permit Application SEP 18 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1579 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT' LOCATION.'
Address. 476 Thames Bluff Ridge H45
Legal Description;Tropical Isles(01R 2786-2163)Unit H415 (OR,3689=590)
Property Tax ID#: 3410-508-0225-000-0000-0 Lot,No.
Site.Plan Name: Block No.
Project Name: Kathleen Wolfe -
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI PTION..QF'WORK'.-
"0
New Shower Valve and Vinyl Pan MB
CONMOCTIO"NI-IINFORM, QN:
AdElltiono lworKtobenerformed uncalertnis-permit—check all that appy:— Windows/Doors
OHVAC Gas Tank F�Gas Piping F]Shutters F
®Plumbing CGenerator
13EIectric FV oSprinklers Roof
Total Sq.Ft of Construction: 100 SQ.Ft.of First Floor:
Cost of Construction:$ 350 Utilities:oSeweE Septic Building Height:
OWNER/LESSEIE"' CONTRACTOR:
Name Kathleen Wolfe Name: Joseph F.Tully
Address:.33 Beacon Hill Company: Genesis Plumbing Services
City. .SpartaNJ Address: 1902 SE Bolton Ave
State:
Zip Code: 07871 Fax: City: Port St.Lucie State:FL
Phone No.973-670-0666_ Zip Code: 34952 Fax:
E-Mail: Phone No. 772-353-5917
Fill in fee simple Title Holder on next page if different E-Mail-, genesispiumb.ingservic6s@grhaii.com
from the Owner listed above) State or County License: 29000
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
5UPPkEMENTAl GONSTRUGTlb�V JEN LAU1f INFO MATI4N.
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 certlfy 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 Nome 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
ler—
ignature of Owner/Lessee/Agent Ignature of Contractorcense H
dk
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsLwa• COUNTY OFSt.Lucro
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�.6 day of S C?A-.Qy- . 20 1— Gy this Z&day of Si r .20 /s'by
Josoph F.Tully 1 Joseph F.Tully
(Name of person acknowledging) (Name of person acknowledging)
' :LAILLEN KAYLA ALLEN
9 FF91
(Si ature I u - 1 20tg (Sig ure of Notary P b e df Jep19mbw 01,20f9
.S5 (407)3".0.53pall tarYM• •,vioo.oan
OR Produced Identi ILa on Personally Known x OR Produced en
Type of Identification Produced ion Produced
Commission No. FFI&%N (Seal) Commission No. FFI&%w (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS