HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/12/16 Permit Number:
a
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 PLUMBING
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S OCEAN DRIVE 1002
Legal Description: REGENCY ISLAND DUNES BLD 1 UNIT 1002
Property Tax IDN: 3534-501-0050-000/2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
RC-Ior--e— 1-.4'J'��1'e',r-y i zC13(tis
❑HVAC ❑ Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
JCI I II IL—LIICU4 dil dpply.
aas Piping Shutters
Sprinklers ❑ Generator
Sq. of First Floor: _
Utilities: LJ Sewer ❑ Septic
Lot No.
Block No.
❑ Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name POWELL
Name: DAVID E HUSNANDER JR
Address: 1255 PINEVIEW DRIVE
Company: DAVES PLUMBING
City: MORGANTOWN Stater
Zip Code: 26505-2738 Fax:
Phone No.
Address: 499 SE SEVILLE ST
City: STUART State: FL
Zip Code: 34994 Fax: 288-7127
Phone No. 287-8128
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: davesplumbing499@hotmail.com
State or County License: CFC 051625
It Value ofconstruction is>z5uu or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable
ZONING
MORTGAGE COMPANY:
_ Not Applicable
Name:
SEATURTLE
MANGROVE
Name:
COUNTER
Address:
REVIEW
REVIEW
Address:
REVIEW
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
COMPLETE
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
INITIALS
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 aELO posted on the jobsite
before the first inspection. If you intend to obtain financing, cot wit len an attorney before
commencing work or recording vour Notice of Commence nrr�€ t. I
—Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 20 by
(Name of person acknowledging )
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF {Y�.1r'��
The forgoing instrument was acknowledged before me
this II d day of t\Afy, . 20I �d by
�t C\ 4ua'woex
(Name of person acknowledging )
(Signate o_urf Notary Public -State of Florida }
Personally Known —1— OR Produced Identification
Type of Identification Produl
Commission No. • A WISSI0NJIFF200049
,.. - S: June 17, 2019
�nF..Fi�•' Emild-111 Nobly Publla Ulmi rs
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS