HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 13''lVg 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
PROPOSED IMPROVEMENT LOCATION:
Address: ^^C)?^ ^) HlOU f))f] # ^OZ
Legal Description: (^fdrvl Ixis-^ OP (OOr^h Ha-h^hl/^SQn TTStarri rcrfiOnn'O^'^"^
Property Tax ID #: NZ3 ' 60^} - CCD? - OQO - &
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:,
Lot No. ^OZ
Block No.
Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Safapplyi
Shutters HVAC
Electric
Gas Tank
LJ Plumbing
Gas Piping
__JSprinklers LJ Generator
Windows/Doors
Roof
Total Sq. Ft of Construction:
Cost of Construction: $
i Sq
Utilities:
. Ft. of First Floor;
Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name f^nJlAC /) ^J/?(^/i-f/ft Name: CRAIG MOBLEY
Address:
City: iAJinChj^^-fpt^ State
Zip Code: ^^¥1 I Fax:
Phone No. 9,%^-7</9'JoB^
E-Mail: '^/n
Company: SOUTHERN PLUMBING. INC
Address: 4069 43RD AVENUE
City: VERO BEACH
Zip Code: 32960
State:
Fax: 772-978-9843
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
State or County License: RF0067100
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUGTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x 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 ail 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 Commertrfement may result in your paying twice for
improve^nts to your property. A Notice of Commencementymtist be recorded and posted on the jobsite
before/ihif first inspection. If you intend to obtain financing,/of suit with lender or an attorney before
comiyierycing work>br recording your Notice of Commencer
Owner/Aessee/Agent
rATfiUaS^LORIDfA
COUNTY OF INDIAN AlVER
The forgoing instrument was acknowledged before me
this_iAday of .TL/1\ , 20 ikhj
(Name of person acknowledging )
(Signature ^f Notary Puhfi^ State of Florida
Personally Known, 1 OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/20^
-•t*<*
REVIEWS
s0fk:. KIMBERLY MAY
5 MY COMMISSION » FF241665
EXPIRES June 18,2019
FRONT
COUNTER
HWW«W<>U/Y8«HC» com
ZONING
REVIEW
Contraofor/License Holder
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
this J_3 day of Tl/VV| , 20 jXp_ by
7^ (Name of persornacknowledging)
(Signature of Notary Publicr State of Florida j V
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
SUPERVISOR
REVIEW
PLANS
REVIEW
KIMBERLY MAY
MY COMMISSION # FF241665
EXPIRES June 18, 2019
(<07)39S<|193
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS