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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) Date: l ' r�lP Permit Number: / - RECEIVED Building Permit Application Planning and Development Services ;APR' �' Building and Code Regulation Division 24116 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential Xxxx PERMIT APPLICATION FOR: Plumbing PROPOSED`IMPROVEMENT'LOCATION: Address: 3711 Avenue Q Legal Description: SUNLAND GARDENS BILK 15 LOT 6-LESS N 10 FT-(0.17 AC)(OR 2401-1925:2907-1655) Property Tax ID#: 2405-601-0274-000-5 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK Remove and replace the existing tub with a shower. CONSTRUCTION`I NFORMATION Additional work toe nerformed under this permit—check a t appy: ❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: SFt of First Floor: Cost of Construction:$ 2200.00 Utilities: Sewer Septic Building Height: OWNER/LESSEE:.' ;i _; ,} ::CONTRACTOR Name Andrea/Lawrence Dampier Name: Reed Sudderth Address:2000 N 43rd St Company: CRS Plumbing City: Fort Pierce State:FL Address: P.O. Box 12755 Zip Code: 34947 Fax: City: Fort Pierce State:FL Phone No. 7 / © 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@bellsouth.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. 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 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 wok or rqcorAing your Notice of Commencement. / S _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF st t„de COUNTY OF St Leda The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this S day of A F& , 20 (�by this S day of AP(Z 20 /to by Edward D.Jendok- Edward D.Jendon (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pub V tate of Florida) (Si ature of Notary Publi - ate of Florida) Personally Known xxx Personally Known xxx eedidetifienHe Type of Identification Pr 3P `• EDWARD D JENDON Type of Identification Pro I EDWARD'D JENDON : . MY COMMISSIONFF124587 '= MY COMMISSION#FF124587 Commission No. ,'f; EXFiA May 19,2018 Commission No. EXP May 19,2018 Y ...„ (407)398-0153 FloridallotaryService.com (407)M-0153 FloridallotaryService.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS