HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �,�. / Permit Number: ` &Cy—
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Building Permit Application AUG 2 2 2096
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 El
PROPOSED IMPROVEMENTIO.CATIM:
Address: 8024 KIAWAH TERRACE
Legal Description: POD 25 AT THE RESERVE LOT 16 (OR 3670-979)
Property Tax ID#: 3327-705-0017-000-9 Lot No.
Site Plan Name: JOHNSON, MARCUS & CONSTANCE Block No.
Project Name: SERVICE AMERICA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK
WH CHANGE OUT 50 GAL ELEC
CONSTRUCTION ,INFORMATION: r
Additional work toa nertormed under this permit—check a appy:
HVAC0 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 550 Utilities:0Sewer D Septic Building Height:
OWNER/L.ESSEE`: . CONTRACTOR: ti
Name JOHNSON, MARCUS & CONSTANCE Name: ERIC NERENBERG
Address:8024 KIAWAH TER Company: SERVICE AMERICA
City: SAINT LUCIE COUNTY State: FL Address: 2755 NW 63RD CT
Zip Code: 34986 Fax: City: FT. LAUDERDALE State: FL
Phone No.772-467-0986 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: CFC056891
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION LIEN°'SLAW 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:
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 y intend to obtain financing, consult with lender or an attorney before
commencin ork or record/
our Notice of Commencement.
— 11'1n 'A "" v✓Ls
_sSignat rueof-wne ssee/Agee'' Signature-o Contr c or/License-Ho er_ j
STATE OF LORID - STATE OF FLORI A
COUNTY OF COUNTY OF
The forgoing instru ent was acknowledged before me The forgoing instru Went was acknowledged before me
this JL day of IISt 20 _4by this-6—day of V( 20 J-6—by
1 Frio 4eiz nle1-mIh rA
I
person acknowledging) (Name of person acknowledging)
�e 612:zLe I — �ah' 4— wp,
( ignature o otary Public-State of Florida ) (Signature of N tary Public- tate of Florida)
Personally Known �Q ro u�e� Personal
Type of Identification Pr NET'T'LES Type of I I ton F8�✓� #FF952ee4
ISSION#FF952984 M �
's' EXPIRES January 21.2020
?a EXPI �uary 21,2020 Commiss h•, ye,Y� �,,,,, (Seal wary 21,2020
Commission No. ",ry Flwda►krirry9ew.�ta„ (4071898.01W cm,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS