HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: 3/3/16 p Permit Number: /&& 03�oo
• _ �Iu >mbin RECEIVE®
Building Per ' Application A
Planning and Development Services MAR ®3 2016
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
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PROPOSED IMPROVEMENT LOCATION '
Address: 904 C Shorewind Dr
Legal Description: Coral Cove Beach-section 1 block 1 WLY 64.1 ft of lot 13 and ELY 29 ft of lot 14
Property Tax ID#: 1425-701-0014-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Cpra " .
Setbacks 'Front Back: Right Side: Left Side:
.............
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DET` 11LED, DESCRCPTION OF WORK` Ss
Replace water service overhead because of leak under slab
CONSTRl1CTI01111NFORMATIONiQ
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Additionalwork to e e orme under-Tis—permit-check a appy:
HVAC 11 Gas Tank Gas Piping _Shutters Windows Doors El
— ❑ p g ❑Windows/
Doors
0 Plumbing Sprinklers [Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1200.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE 4 CONTRACTOR
Name Florida Beach &Golf Reatreat lic Name: St Lucie Remodeling & Plumbing
Address:7128 Maidstone Dr Company:
City: Port St Lucie State:Fl Address: 5309 Sunset Blvd
Zip Code: 34986 Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CFC1428580
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPfPLEM., NTA'L'COIVSTRUCTIO'N LIEN LAW INFORMATION
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A
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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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ignature of own e Lessee/Agent Signature of Co ctor License Holder
STATE OF FLORIDA _ STATE OF FL RID
COUNTY OF - COUNTY OF
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p, The fo oin instr ent was cknowled
The forgoing instrument was acknowledged before Th g ge ^before me
this day of ��F('j/2 20 &by '''•':,.�+� ` this day of 20 I�by
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(Name of person acknowledging) rm„ (Name of person acknowled in
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(Signature of N60ry Public-State of i4orida) a;N (Signa ur orida )
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Personally Known OR Produced Identificati Personally Known
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Type of Identification Produced Type of Identification P � BRENDA LEE LEA
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., ° EXPIRE .Juiy 0,2019
Commission No. (Seal) Commission No. R,h, BondedThrun> IRE cunderfrters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS