HomeMy WebLinkAboutBuilding Permit Application JUN-9-2016 22:57 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.2/5
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number IWOcA_day
RECEIVED JUN 10 7.016
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)462-7.578 Commercial Res, ential XXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: WO Killarney Avenue
Legal Description: Lakewood Pard S/D Unit-12 (Map 13/12S)(OR 829-2037,3772-350)
Property Tax Ila#: 1301-614-0001-000.9 Lot No. 1
Site Plan Name: Block No. 157
Project Name: Darlene Peterson
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
County water hook up
CONSTRUCTION INFORMATION:
Additi-onal work toorme under tispermit—c ec a appy:
0HVAC LiGasTank E]Gas Piping _Shutters Windows/Doors
UElectric Ri Plumbing ❑Sprinklers ❑Generator Roof
Total Sq, Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:S 200.00 Utilities:[]Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Darlene Peterson Name: Ace Plumbing, Inc.
Address: 5400 Killarney Avenue Company: Ace Plumbing, ille.
City: Ft Pierce State: A Address: 665 4th Place
Zip Code: 34951 Fax: City: Vero Beach State:FI
Phone No,772-323-8587 Zip Code: 329fi2 Fax; 772-567-8494
E-Mail: Phone No. 772-562-3780
Fill in fee.simple Title Holder on next page{if different E-Mail: ace.piumbing@coii.icast.net
from the Owner listed above) State or County License: C tC032636
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
JUN-9-2016 22:57 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.3/5
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANNot 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 holdr 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 rest ctlons which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,In all resp s,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amend nts.
The following building permit applications are exempt from undergoing a full concurrency revie room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to other non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may res in your paying twice for
improvements to your property.A Notice of Commencement must be recorded nd posted on the Jobsite
before the first inspection. If you intend to obtain financing,consult with lender r an attorney before
commencingwork or retordin our Notice of Commencement.
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STATE OF FLORID STATE OF FL RID ,
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Theorgoing InstnPent was acknowledged before me The forgoing instrument was cknowledged before me
this day of 20 W,pby this X0_day of 20 by
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(Name of person (Na
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(Sig ature of Notary Public-State of Florida) (Sig ature of Notary PubYic- to of Florida)
Personally Known OR Produced Identification Personally Known 0 Produced identification
Type of Identification Produced Type of Identification Produc
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