HomeMy WebLinkAboutBuilding Permit Application AUCs-4-2016 02:54 FROM:ACE PLUMBING 7725678494 T0:17724621578 P.1/3
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �"L1 -lu Permit Number: 0
EIVED
70
Building Permit Application ii, AUG 0 4 20%
Planning and Development Services pERN11TTfNG
Building and Code Regulation division i St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce F134982 !
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 4000 N HWY AIA UNIT 402
VISIONS UNIT 402 AND COVERED GARAGE UNIT 22 4 OR 3887.183
Legal Description. VISIONS )
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Property Tax ID#: 7423.503.0006.000.8 Lot No,
Site Plan Name, �l Block No-
Project Name: JASON LLEWELLYN
Setbacks Front Back' Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK:
Installi owners shower valve. Furnishi and install shower pan liner. Hock up owners bath tub
and faucet.
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CONSTRUCTION INFORMATION:
Acid Itional work oe e.r orme under s permit—Check a appy:
Windows/Doors HVAC Gas Tank E]Gas Piping _Shutters h
11 Electric 0 Plumbing ❑Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: S . Ft.of Flrst Floor:
Cost of Construction;$ 1200.00 Utilities; � Sewer�]Septic !Building Height:
OWNERAESSEE: CONTRACTOR:
Name Jason Llewellyn Name; Daniel Washburn li
Address: 11357 Talon TRC2 Company- Ace plumbing, Iric_
City; Fishers State•IN Address: 665 4th Place ii
Zip Code: 46037Fax: City- Vero Beach �� State:FI
Phone No. zip Code; 32962 ti Fax; 772.567-9494
E-mail: Phone No. 772.662.3780
Fill in fee simple Title Holder on next page(if different E-Mail. ace.plumbing@corrtCast.not
from the Owner listed above) State or County License: 20940
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. }
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. AUG-4-2816 02:54 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.2/3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY; ! Not Applicable
Name; Name; I
Address: Address: is
City: M.,_ _ State: City: State:
Zip: Phone: Zip: Phone;V
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: __- _- - Name,
Address: Address: Ci
City: City: I;
Zip: Phone; Zip: Phone: J
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I certify that no work or Installation has commenced prior to the Issuance of a permit. j
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 Owfiers 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 restrl�tlans which may apply_
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respe(ts,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 the first inspection. if you intend to obtain financing,consult with lender di an attorney before
commencing work or recording,your Notice of COmmenCem t,A L A
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18-n Q-turj of Owner/Lessee/AgentSTATE OF Si nature of Cantracto/Lfcensd older
COUNTY OFORI A nf, y COUNTYOF \STATE OF RIDkA
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The f going inst ment was acknowledge before me The yfS
ing Inment was acknowledged before me
this day of 20 by thisday Of P 2pQ by
(Name of person acknowledging) (Name of person acknowledging)
(Slg ature of Notary Public-State of Florida-) (Sign ature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR:Prod identification
Type of Identification Produced Type of identification Produced
Commission No. No. al)
AiPiI1L C RINI � �'9/
CanR1lNbn uZ0.Z011C .Er„A
Revised 07/15/2014 C ° I
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION � SEA TURTLE MAN
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE +
INITIALS Cj
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