HomeMy WebLinkAboutBuilding Permit Application Feb 2316 07:19p CRS Plumbing 772-460-7774 p.2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l '�� /to Permit Number: D
2- OOL
Building Permit Application FEB 2 31016
Planning and Development Services PER r11T TI rNG
Building and Cade Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1.553 Fax:(772)462-1578 Commerdai xxx Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6100 W Midway Rd
Legal Description: See attached
Property Tax ID#: 3301-131-OODO-010-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new CPVC piping.
CQNSTRUCTION INFORMATION:
Additional wor to ri
orme un er ispermit—c ec a appy:
E1HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 2300.00 Utilities:1:1Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Rinker Materials Corp Name: Reed Sudderth
Address:1501 Belvedere Rd Company: CRS Plumbing
City: West Palm Beach State.F L Address: P.O.Box 12755
Zip Code: 33406 Fax: City: Fort Pierce State:FL
Phone No.772-461-6700 Zip Code: 34979 Fax: 772-460-7774
E-Mail: Phone No. 772-466-7763
Fill in fee simple Title Holder on next page(if different E-Mail: crsplumbing@belisouth.net
from the Owner listed above) State or County License: CFC1426853
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb 2316 07:19p CRS Plumbing 772-460-7774 p.3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 holderto 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 intend to obtain financing, consult with lender or an attorney before
corn menc' rk or recording our Notice of Commenceme�nt.�
i s
_Signature of Owner/Lessee/Agent Signa ure of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SL t de COUNTY OF st—
Thefor Ding instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 17day day of_ _ FL'(3 20 L12--by this as day ofFCM_ 20 1•- by
Edward D.Jen&&- Edward D.Jendon
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi t. to of Florida) (Sign ture of Notary Public- tat of Florida)
Personally Known ro uce en i ica ion Personally Know o. �i OE0WAftbI6QtIfNb8hL
8
Type of Identificati ruMro— i:dEDWARD D JEND Type of Identific ti-n ddc
-•' _ MY COMMISSION#FF1245B7 =y.. �o'%
'g•. a<; 19ZV6e?F EXPIRES M 1 p,2018
Commission No. -' a°f EXPIREgSWW 19,2018 Commission No. `"-""' ormallota erne .com
(407)39"153 Floridallo"Service.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS