HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '"^^ 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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: ferd/t/ "X^lo pP (XJOf-^n HuipJlin^OA^ J<slQJld Cr^r^dcm)n,IA/V^
Property Tax ID #: /VPo ' 6c7 - OobZ ' QOO 2.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
Lot No. yo,3
Block No.
Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
HVAC
Electric
Gas Tank Gas Piping Shutters
41 Plumbing | | Sprinklers Generator
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction: $. 870- DO
Sq
Utilities:
. Ft. of First Floor:
Sewer Septic Building Height:.
OWNER/LESSEE: CONTRACTOR:
Name 5fa^(K-/- H fv^ilpfion Name: CRAIG MOBLEY
Address: 37oZ_ fO PilR ^9o'5 Company: SOUTHERN PLUMBING, INC
C\tv:'for-\- f/(^irpJl State: Address: 4069 43RD AVENUE
ZioCode: 3797? Fax: Cjtv: VERO BEACH state: FL
Phone No. l^Z'O^Pl' W^O 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: S0UTHERNPLUMBING@A0L.COM Fill in fee simple Title Holder on next page (if different
from the Owner listed above) State or Countv License: RF0067100
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: ^ Not Applicable
Name:
Address: Address:
Citv: State: Citv: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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
WARNIN&TO OWNER: Your failure to Record a Notice of CommenMnient may result in your paying twice for
improveonaits to your property. A Notice of Commencement nyosvbe recorded and posted on the jobsite
before Ifneffirst inspection. If you intend to obtain financing, gfnsiylt with lender or an attorney before
comnrienc/ng work orrefording your Notice of Commencer
^_g£-0wifer/ Lessee/^gent
STATE OF FLORIDA
COUNTY OF iNDiAN RIVER
The forgoing instrurne_nt was acknowledged before me
this O day of _
(Signatur^ of Notary Publit- State of Flori(^ )
Personally Known K OR Produced Identification
Type of Identification Produced
Commission No. ffS>^l]ob^ (Seal)
Revised 07/15/201
REVIEWS
DATE
COMPLETE
INITIALS
KIMBBRLY MAY
••*= MY COMMISSION « FF241665
EXPIRES June 18,2019
FRONT
COUNTER
ZONING
REVIEW
e ofC«htractor//icense Holder
STATE OF FLORIDA'
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me The Torgoing instrument wa this_/3 day of TUl^
{Nameof persojT^cknowledging) '
.by
Personally Known A OR Produced Identification.
Type of Identification Produced
Commission No. (Seal)
SUPERVISOR
REVIEW
PLANS
REVIEW
KHIBeRLY MAY
I MY COMMISSION # FF241665
EXPIRES June 18. 2019
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW