HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INOO MST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 Permit Number:
RECEIV7D APR 18 2016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F134982 .
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
N-,fir,
Address: 8880 S OCEAN Dk UNIT 804, JENSEN BEACH,FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 804(OR 1743-572)
Property Tax ID#: 3535-603-0068-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILEDrDESCRIPTION ®F�W==@R"K z
:.' 5h .l.',!`n i ,> 35$,a'; ,r .5''. .. a`r i�'ur x,',.,.a oa�,v ` ,r•5 ,r�'' .., `, ,�:"� zm yr."'5: `r'�. `S. ,:t s; 794
NEW SHOWER VALVES IN BOTH MASTER AND GUEST BATHROOM , NEW SHOWER PAN IN
MASTER BATH
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CONSTR'UCTION�IINIFORMATION7, r �. f �g
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Additional work toe e orme under tispermit-checka appy. RF
HVAC Gas-Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0%Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: / C Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: W1 Sewer 0 Septic Building Height:
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Name ROBYN BATSON Name: JOHN HYER
Address:3 PALMETTO DR Company: HYER QUALITY PLUMBING
City: STUART State:Fl- Address:-'-7501 —o0eY'``��1
Zip Code: 34996 Fax: City.+--)- 5tate:�r t--
Phone No.954-553-1778 Zip Code: 3Fax:
E-Mail:ROBYN.BATSON@GMAIL.COM Phone No.-1-Q-a Ll 0 q 10
Fill in fee simple Title Holder on next page(if different E-Mail: \ L.(D Wi
from the Owner listed above) State or County License:CFc-"I X7 35(,o
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L!F'N,,LAW INFQRMATION ,.
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
commeacing,wQrk or recordiVg your Notice of Commencement.
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_Signature of Owner/Lessee/Agent ature of Contractor/LictAse Holder
STATE OF FLORIDr ' STATE OF FLORIDp�
COUNTY OF COUNTY OF Sf.
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this 1,lir day of 20 (G by this I.FI day of 40P t ,20 lt� by
(Name of person acknowledging) (Name of person acknowledgin )
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ced Identification Personally Known OR Produced Identification
Type of Identificat r °("";�ed Type of Identification Produced
VPN
1'COMMIS�I
Commission NO. l .. ••• '._' FF091385 Commission No. FF �!a
311' eH R014LRPM
IRES Fe
1407)998.0153 Florida 8ry 10'2018 99ELZ04d#uOMR1tw00 °
Nota Se
IF-44
ePPOW 40 aims-aggnd N830N v;
Revised 07/15/2014 H01o)iGHVM03 •�•�d,",�'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ,MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS