HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: •' I ' I p Permit Number: o�.�] � L7 2,
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Law
Building Permit Application MAR 0 7 2016
Planning and Development Services PEP,:JIITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing El
PROPOSED IMPROVEMENT LOCATION.
Address: 252 Mangrove Bay Place, Fort Pierce, Florida 34982
Legal Description: Tropical Isles(or 2786-2163) Unit L-01 (or 2834-2981)
Property Tax ID#: 3410-508-0297-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET-AILED,DESCRI MONOF WORK:.
Install a shower in place of the existing tub in the front bathroom. Install a new shower valve and a
diverter valve.
CONSTRUCTION INFORMATION:
_,
Additional workto e e orme under this permit—c ec a app y:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
'Ll
Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 650.00 Utilities:SewerEl Septic Building Height:
OWNER/LESSEE CONTRACTOR:-,"-,
Name Lieselotte Quinn Name: Greg R Bassett
Address:252 Mangrove Bay Place Company: Wellworth Plumbing LLC
City: Fort Pierce State:Fl Address: 1016 Antilles Ave
Zip Code: 34982 Fax: City: Fort Pierce State:Fl
Phone No.772-489-6198 Zip Code: 34982 Fax:
E-Mail: Phone No. 772'579-2462
Fill in fee simple Title Holder on next page(if different E-Mail: wellworthplumbingllc@aol.com
from the Owner listed above) State or County License: CFC1428815
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPP'L-EM'ENTAIL CONSTRUCTION LIEN..LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x 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.
s
_Signature of caner/Lessee/Agent Agnature ofCo actor/License Holder
STATE OF FLORID STATE OF GRID
COUNTYOF . �t1(',1F COUNTY OF JJOAF,
The forgoing instrument was acknowledged before me The forgoing instrument w s acknowledged before me
this day of 6Y-Qj-, 20 Up--by this day of_ 20 J-6 by
(Name of p son cknowledging) (Name of per on ac owledging)
ad
(Signature of Notary Public-State of Florida) (Signature of otary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produce Identification
Type of Identification Produced n.L- Type of Identification Produced_ r[, 1-�?-4.
Commission No. .��a'
I) KAREN S. NIEL @Rlmi ion No. /
-11
I<AREN S. NIELSEN
ro *s Commission# FF 115637 i
My Commission xpires _ _ Commission N F
;,;, ;° June 12, 2018 My Commission Expires
Revised 07/15/2014
June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS