HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/30/16 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: jo Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3702 N A1A#1103
Legal Description: GRAND ISLE OF NORTH HUTCHINSON ISLAND CONDOMINIUM (OR 2231-1190) UNIT 1103 (OR 2237-2347)
Property Tax ID #: 1423-807-0040-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 50 GAL ELECTRIC WATER HEATER WITH NEW 50 GAL ELECTRIC WATER HEATER
Lot No.^103
Block No.
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit - check a
Gas Tank
Eafapplyl
Shutters
Generator
HVAC
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ '^50.00
Gas Piping
Sprinklers
Sq
Utilities:
Windows/Doors
Roof
. Ft. of First Floor:
Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DAVID PIWKO Name: CRAIG MOBLEY
Address: 3702 N A1A UNIT 1103 Comoanv: SOUTHERN PLUMBING, INC
Citv: FORT PIERCE State:^^ Address: ^069 43RD AVENUE
Zip Code: 34949 pax: N/A Citv: VERO BEACH State: FL
Phone No. (772) 465-4605 Zip Code: 32960 pgx: 772-978-9843
E-Mail: ^/A Phone No. 772-564-6980
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: KMAY.SOUTHERNPLUMBING(gGMAIL.COM
State or Countv License: Rl^007100
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address: Address:
Citv: State: Citv: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: Address:
Citv: Citv:
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 tKef first inspection. If you intend to obtain financing, co^;ip\t with lender or an attorney before
comnWnyng work or recording your Notice of Commencenij
_ Sj^n^^ire of Owner/ytessee/Agent
STATE OF FLORIDA
COUNTY OF FLORIDA
The forgoing instrument was acknowledged before me
this 30 day of xTUnC 20 Ue_by
CRAIG MOBLEY
(Name of person acknowledging ]
life (Signature of^otary/l
Personally KnoWn
blic- Sta^f Florida)
OR Produced Identification
Type of Identification Produced^
Commission No. FFSHSSS ^rmj'^ MY COMMISSION tt J--F2416 >5
EXPIRES June 18, 2019
tr/License Holder
STATE OF FLORIDA
COUNTY OF FLORIDA
The forgoing instrument was acknowledged before me
this 30 day of nUlAC 20 iU_ by
CRAIG MOBLEY
(Name of person acknowledging
/re of Notary ^biic- State^ Florida
Personally Known, OR Produced Identification
Type of Identification Produced
C jmmisslon No. FF241665 '
W7i 39M1S3
*HrtfeRLY MAY
•'I MY COMMISSION n FF241665
EXPIRES Juf ine 18, 2U19
FloriclaNoiii^efvii-4. rnni Revised 07/15/2014
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REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS