HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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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: PlumbingEl
PROPOSED°IMPROVEMENT"'LOCATIOIV � `
Address: 3033 EAGLES NEST WAY
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 64
Property Tax ID#: 3424-702-0206-000-0 Lot No.
Site Plan Name: 3033 EAGLES NEST WAY Block No.
Project Name: SERVICE AMERICA
Setbacks Front Back: Right Side: Left Side:l
DETAILED DESCRIPTION OFWORK:
WH CHANGE OUT 30 GAL ELEC
CONSTRUCTION iNFORIVIATION:
Additional work to be nertormed under this permit—check a appy:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of Firstftr'�
Cost of Construction: $ 400 Utilities: —SewerSeptic 'Building Height:
.OWNER/LESSEE: . CONTRACTO.R:I; r .
NameTHOMAS M STIEFEL JR Name: ERIC NERENBERG'
Address:3033 EAGLES NEST WAY Company: SERVICE AMERICA
City: PORT ST. LUCIE State:FL Address: 2755 NWS 63RD CT
Zip Code: 34952 Fax: City: FT. LAUDERDALE State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page (if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM
from the Owner listed above) State or County License: CF,C056891
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL-.C.ONSTRQ ION:LIEN'LAW INEGRMATION 'f �
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: hone:
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
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 I'ender or a ttorney before
commencingwok or recordingr Notice of Commencement. i
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7 1"d" s
_Signature of�R'
er/L ske/Agent -Signature o-Contr t r,Licens.e2Holder"
STATE OF FLIDA STATE OF FLORID 1_I
COUNTY OF COUNTY OF �"b 4l�(�Y
The forgoing instrument was acknowledge efore me The forgoing instr melnt was acknowledged before me
this day of 20 by this�day oflK91�520 to by
ERIC NERENBERG
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(Nam f person acknowledging) (Name of person acknowledging)
I e4�_
(Signature of otary PL ic-State of Florida ) (Signature o Notary Public-State of Florida)
Personally Known ✓ PAT�IE JO N�TY Personally Known A
Type of Identification P G Type of Identification P alit91014
MY COMMISSION*FF952984 MY COMMISSION N
• EXPI ue 21,2020 Commission No. aa,•`, EXPIR �ry 21,2020
Commission No. '•�. ��i rye11l
(40��3W{-0t5J FlondnNolr SwvwY wnr
k40713 "153
Haid �arySery ce cwr
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS