HomeMy WebLinkAboutBuilding Permit Application Jul 131611:36a CRS Plumbing 772-460-7774 p.2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:__ a �� ( q
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Building Permit App9ication
Planning and Development Services
Bur7ding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax-.(772)462-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: Plumbing
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PROPOSED IMPROVEMENT LOCATION:
Address: 3308 Bent Pine Dr
Legal Description: MONTE CARLO COUNTRY CLUB-UNIT ONE-LOT 280(OR 3079-500)
Property Tax 1D#: 1327-801-0086-000-2 Lot No.
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Site Plan Name: Block No.
Project Name: I'
Setbacks Front Bads: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Convert two bathroom tubs to showers.
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CONSTRUCTION INFORMATION:
Additional work to a Orme under t is perm -c ec a app y:
HVAC 13GasTank ❑Gas Piping _Shutters a:Windows/Doors
Electric ElPlumbing ❑Sprinklers E Generator Roof
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Total Sq.Ft of Construction: Sql.Ft.of First Floor:
Cost afConstruction.•$ 2350.00 Utilities:0 Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Anthony D.g Amelia Scott Name: Reed Suddeib
Address:3308 Bent Pine Dr Company: CRS Plumbing
City: Fort Pierce State. FL Address: P.O.Box 12755
Zip Code: 34951 Fax: City; Fort Pierce I State:FL
Phone No.561-S46-7511 zip Com; 34979I Fax: 772--460-M4
E-Mail: Phone No. 772-466`7763
Fill in fee simple Title Holder on next page(if different E-Mail: crsplumbing@6ellsouth.net
from the Owner listed above) State or County License: CFC1426853'
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required' .
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Jul 131611:37a CRS Plumbing 772-460-7774 p.3
SUPPLEMENTAL_CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not 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:
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certify that no work or installation has commenced priorto the issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the perr7nit 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, j
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 the first inspection.If you intend to obtain financing,consult with lender or an att6rney before
commending work or recording your Notice of Commencement.
V_at
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_Sig re of Owner/Lessee/Agent Sipabufe of Co.7tractor/License AoIder.
STATE OF FLORIDA STATE OF FLOr ODA�,:
COUNTY OFaLi- COUNTYOF st—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this (3 day of JUL- 2p 16 by this 13 day of JUL 2(I 1t by
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Edwmd D.Jewch- Edward D.Jendon
(Name of person acknowledging) (Name of person acknowledging) '
CzwrutCN C,1.
(Signature of Notary Public-S to of Florida) ( nature of Notary Pu6li to of Florida)
Personally Known V d.tdeatmot' Personally Known
Type of Identification P on/04.~ ' f>=nwoQn n .tf>=sUnnr� Type of Identification Prod cg ='-' ; FrawArzn n_1lEb N
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MISSION#FF1245a7
MY COMMISSION#FF124587 " r
Commission No. 1�'.. Commission No. y; �.r E
EXPlR89 May 19.2018 ti��f S May 19,201 a
., (4071388-0153 FTarldaNete ServlCe.com (407f39B0157 FforldONOta rvice.00m
Revised 07!15/2014
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