HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��//�� (�
Date: Permit Number: 1�UlJ l'J �7
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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'IMPROVEMENT LOCATION': . ��° p'y
Address: 3024 Eagles Nest WAY
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 65 LOT 7(OR 3690-1394)
Property Tax ID#: 3424-702-0216-000-3 Lot No.7
Site Plan Name: Block No. 65
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED:DESCRIPTION�;OF WORK:
WH CHANGE OUT 30GAL LI K� Fay LI4C� L l —
CONSTRUCTION, INFORMATION:_,'.
,. . _
Additional work toe nertormed under tis permit—check all appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric ❑✓_Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 400 Utilities:�Sewer❑Septic Building Height:
OW N E.R/LESSEE:
CONTRACTOR:
Name Janet&Daniel F Coyle Name: ERIC T NERENBERG
Address:3024 Eagles Nest WAY Company: Service America
City: Port St Lucie State:FL Address: 2755 NW 63 CT
Zip Code: 34952 Fax: City: Ft. Lauderdale State:FL
Phone No. Zip Code: 33309 Fax: 9549773591
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.
SUPPLEMENTAL CONSTRUCTION LIEN,.LAWINFORMATION: 1,
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 thepermit 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 1\19ttv of Commencement must be recorded and posted on the jobsite
before the first inspection. If you int nd to obtain financing, consult with lender or an ttorney before
commencingw rk or recordingo N ice of Commencement.
4 1414
s
Si.g ttare of;O_ nerd L'ssegent ("Signtur''of Cont c or/L'icense Holder
STATE OFF=R DA STATE OF FLO DA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was ac owledged before me
this_L�day of 2 this_T'day of / 20 /by
JESSICA dO SON
#FF 072964
i '°y ;r W GOWMISSION ber 25,2017
•Novem JESSICA DOTSON
11111—
(Name of person a 'in& ed'ihNNctacy" (Name of perso ac mycOMMISSION#F�012V
EXPIRES:November 25,2017
�71 ' Bonded Thr;Notary Pwic Underwriters
(SVodentification
Notar u ate of Florida) (S' atur of I/r, State of Florida)
Pewn OR Produced Identification Perso Ily KnoR Produced Identification
Ty Produced Ty p of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS