HomeMy WebLinkAboutBuilding Permit Application (2) ff,� 990a) 96
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ' • � �
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: Plumbing
PROPOSED]M:P ROVEM ENT LOCATION: . ,
Address: 9650 S OCEAN DR#106
Legal Description: THE PRINCESS OF HUTCHINSON INSLAND
Property Tax ID#: 4502-610-0006-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .r, '
W/H CHANGE OUT 40GAL
CO.NSTRUCTI.ON INFORMATION:
Additional work toeasleorme under this permit—check a appy:
❑HVAC l]Gas Tank []Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 500 Utilities Sewer Septic Building Height:
.OWNER/LESSEE: T
ONTRACTO,R•
Name ARLENE WEIR Name: ERIC T NERENBERG
Address:9650 S OCEAN DR#106 Company: Service America
City: JENSEN BEACH State:FL. Address: 2755 NW 63rd CT
Zip Code: 34957 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.
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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:
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I certify that no work or installation has commenced prior to the issuance of a permit.
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St.Lucie Count 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 ying twice for
improvements to your property.A tice of Commencement must be recorded and po ed on the jobsite
before the first inspection. If you ' tdnd to obtain financing, cons It with lender or an to'rney before
commenc' work or recordin ou`r Notice of Commencement
._C/Vi- s
1:.w Signat f—of Con act /License Holder
Lgnatu esofQ�wn /,' essee/Ag �� Tv
STATE F FLORI A STATE OF FLOR
COUNTY.OF COUNTY OF
The rgoing instrument v�a�acknowledged before me The fprgoing instrument was ack owledged before me
this day of `7 , 20 �by this!(/ day of �/ 20 /6 by
Eric r Erc C r
(Name of person ack o ledg' g) (Name of person ac e i g)
I
o �
(S'gfiature of otaryPu I' of Florida) (Signature f Nota u lic-State of Florida)
Personally own OR Produced Identification / Pers o ally Known OR Produced Identification
Type of Id ntification Pr uced T e of Identificati n Produced
Com ssion No. ,.,d'.V.111 ICADOTSON Commission No. ,,_ �---�•�={��j
;;• �� MY CpMtufISSION#FF 072984 JESSICA DOTSGN
EXPIRES:November 25,2D17 �•"•"Y;c:
My COMMISSION#FF 072984
��,eqF�{o••' o e ' �M�„�,,,• :��, 10 EXPIRES:November 25,'L�1
Revised 07/15/2014 F' Bonded Thru Nolap Public Undervrriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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