HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r J 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 �T Residential X
17
PERMIT APPLICATION FOR: Plumbing '
IN
PR`OPOSE`D,INIPROUf MENTLOCATIQN„
Address: 764 Cypress Street Port St. Lucie, Florida 34952
Legal Description: River park-unit 1
Property Tax ID#: 3419-501-0060-000-1 Lot No. 4
Site Plan Name: Block No. 6
Project Name: Druga
Setbacks Front Back: Right Side: Left Side:
DE�`fAILED DESCRIPTION OF�WORK�:
Replace water heater 50 gal elec
CONSTRUCTION NFO�RMATION
a.rr
Additional work tone nertormed under this permit—check a app y:
HVAC 0 Gas Tank 0Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 795 Utilities. Sewer Septic Building Height:
Name Michael Druga Name: Anthony Agrusa
Address:764 Cypress St. Company: North County Plumbing
City: Port St. Lucie State: FI Address: 2647 Old Dixie Hwy
Zip Code: 34952 Fax: City: Riviera Beach State: FI
Phone No.772-528-4580 Zip Code: 33404 Fax: 561-625-8717
E-Mail: Phone No. 561-625-9414
Fill in fee simple Title Holder on next page(if different E-Mail: Northcountyplumbing@hotmail.com
from the Owner listed above) State or County License: CFCO26530
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUP:PLEIVIENTAL,CO,NSTRUCTIO.NLIE'N LAW.�INFORIV.IAThON:,
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 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 ' nd to obtain financing, consult with lender or a attorney before
commencing work or record' r Notice o Commencement.
s
_Signature of Owner/Lessee/Agent Signature f Contractor/License Holder
STATE OF FLOVO
CJSTATE. OF FL
COUNTY OF COUNTY OF O h,eOCb
The f oing ins nt as acknowledge before me The fo oing inst�,,jet was acknowledged before me
this day of 20 Lby this day of 20 le by
q Ro sa s
(Name of person ac owledg ) Name of person a' owlecl ' g)
(A-
(Signature of Notary Public-S e of Florida) (Signature of Notary Publid_-Sifate of Florida)
Personally Known O_ R,ProLLiced h e" ific�at* n Personally Known �P „ro uce orb �C�
Type of Identificatio Prt`dule���„y nnFi nw�,ip}�N�BN YP �yPU/ -
Type of Identificatio P'o, :
Notary Public-State of Florida _'p Commission#FF 197676
Commission No. '• •- Cdr>�af3d)ion#FF 197676 Commission No. ':9 "�:� My Com( )res Apr 20,2019
".. Bonded
My Comm.Expires Apr 20,2019 through National Notary Assn. `
Bonded through National Nalaly Assn
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS