HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/31/16 Permit Number:
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 X
PERMIT APPLICATION FOR: Plumbing I-1 I
Address: 8008 Arthuts Rd
Legal Description: Lakewood Park -unit 4-BLK 26 LOT 1
Property Tax ID #: 1301-604-0017-000-3
Site Plan Name:
Project Name: Sayco Equity Fund LP
Setbacks Front Back:
Right Side: Left Side:
Replacing existing shower valve and existing 40 gal low boy water heater
Lot No.1
Block No. 26
iamonai worn co oe errormea
HVAC
Electric 0
unser
Gas Tank
Plumbing
anis
E]Gas
perm¢— cnecK an
Piping _
Sprinklers []Generator
apply:
Shutters []
Windows/Doors
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1100.00
SFt. of First Floor:
Utilities:lSewer D Septic Building Height:
Address: � c( X— 09
City: 1- Y V' / V_a4on State: P7
Zip Code: S31LiS Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: David HusnanderJr
Company: Dave's Plumbing, Inc
Address: 499 SE Seville St
City: Stuart State: FL
Zip Code: 34994 Fax: 772-288-7127
Phone No. 772-287-8128
E -Mail: davesplumbing499@hotmail.com
State or County License: CFC051625
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGN
Name:
Address
City:
Zip: _
NEER:
7rT7ii31
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
SUPERVISOR
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
COUNTER
City:
REVIEW
Zip: Phone:
REVIEW
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 OWN V
-lure to Record a Notice of Commencement may result in your paying twice for
improve is ur y. A Notice of Commencement must be recor d and posted on the jobsite
befor e f r i pe ou intend to obtain financing, consult with r or an attorney before
co mencin k o re¢ vour Notice of Commencemarl>"l
Lessee/Agent
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF fl�C2_I!1� COUNTYOFManin
The forgoing instrument was acknowledged before me
this `.)k day of Y VSO t_4 20 L L�by
`lel v t L'k 141 )'7� n n 1,\ d/ P.G
(Name of person acknowledging )
The forgoing instrument was acknowledged before me
this 31 day of May . 20 _by
David Husnander Jr
of person
(Signature of Notary Public -State of Florida ) (Signature of Notary Public -State of Florida )
Personally Known —LX OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
+'i''•., PATMCPEAK
Commission No. ths3' ����pp��77�� P Commission No. "•' µµ55IONtFF193291
MY dp1,R,115510N
CPT
FF 193291 , 'j��$; March e, 2019
EXPIRES: March B, 2019_ _
Boded Q;tr Pubk und..ftM
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS