HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08-16-2016
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: 8270 SAND PINES CIRCLE, PORT ST LUCIE, FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 26 (OR 19031851)
Property Tax ID #:
Site Plan Name: LAKE LUCIE ESTATES
Project Name: BRUCE
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
M
Lot No. 26
Block No.
Remove existing water heater in the Garage. Supply and install new 50 gallon tall Rheem@*
Professional Classic Series Standard Electric water heater.
CONSTRUCTION INFORMATION:
Acloitional worK to Ue nerformed under tispermit—c hecka appy:
HVAC Gas Tank E]Gas Piping _ Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers E Generator E] Roof
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities: —Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES & JOYCE BRUCE
Name: JAMES M AGER
Address: 8270 SAND PINES CIRCLE
Company: Plumbing By Bishop
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-344-2203
Address: 2606 SE Willoughby Blvd
City: Stuart State: FL
Zip Code: 34994 Fax: 772-286-1412
Phone No. 772-286-5872
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: plumbingbybishop@comcast.net
State or County License: CFC1429566
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
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 thepermit 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 the first inspection. If you intend to obtain financing, consult wit n er o attorney before
_ Signature
STATE OF PLIM
COUNTY OF m—
The forgoing instrument was acknowledged before me
this 16 day of August 20 -L6-by
JAMES M AGERl
(Name of person
aacckknnowwlleeddggiing )
/ 1 !.C/. t/ L_
(Signature ciNotary Public- State of Florida )
Personally Known x
Type of Identification F
Commission No. FFa9M7
Revised 07/15/2014
OR Produced Identification
NE KHATCHERIAN
MY COMMISSION # FR
STATE OF FLORIDA
COUNTY OF M -n
The forgoing instrument was acknowledged before me
this 18 day of AWusl 20 75 by
JAMES M AGER
(Name of person ackn wedging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
No. FFSB2S37 '�Ti'k LK9,t* KHATCHERIAN Ch
MY COMMISSION # FF992i
EXPIRES May t6, 2020
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