HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/12/16 Permit Number:
Itnog-
EC 'IF
Building Permit Application SEP 12 2016
Planning and Development Services
ITTING
Building and Code Regulation Division Lucie County
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
'PROPOSED"IMPROVEMENT LOCATION: _
Address: 2410 NW Lakeridge Drive, Pamlcity 34990
Legal Description: LAKERIDGE S/D Lot 6 (OR 3835-1898)
Property Tax ID#: 4425-702-0008-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK:'.
6� �10C_L-or�.J Cs t vcx x,004 r-&q, tfi=o2—R2, (1e.Qcroc
CONSl'RUCTI"ON INFORMATION:
Additional work to eperformed under this permit—check a _appy:
HVAC be
F_]Gas Piping Shutters Windows/Doors
a
Electric 0 Plumbing Sprinklers ElGenerator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2100 Utilities:Sewer Septic Building Height:
O1NN.ER/LESSEE CONTRACTOR
Name Robert Johnson "Name: Benjamin Jimenez
Address:2410 NW Lakeridge Drive Company: Benjamin Drew's Plumbing&Drain Services INC
City: Palm City State:Fl Address: 173 SW Grimaldo Terrace
Zip Code: 34990 Fax: City: Port Saint Lucie State:FI
Phone No.9544451608 Zip Code: 34984 Fax:
E-Mail:jjsails72@gmail.com Phone No. 7723702417
Fill in fee simple Title Holder on next page(if different E-Mail: ben@benjamindrewspiumbing.com
from the Owner listed above) State or County License: CFC1429456
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.-
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN"FO`RMATION
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 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 with lender or an attorney before
commenci rk or recording our Notice of Commencement.
s
Signat o� Ow r/Lessee/Contractor as Agent for Owner Signatur=LORIDA ract /License H er
S F FLORIDA STATE "
COUNTY OF LuiI o COUNTY OF (_ L tCiIF,
The forgoing instr ent s acknowledgeq pefore me The forgoing instru ents acknowledged before me
this &day of 20 14ty ` this l,day of 20 by
rt.
(Name of persa acknowledg'ng) (Name of persdn ac nowledgi )
i
i
(Signat re of Not Public-State of Florida) / (Signature of Notary Public-State of Florida)
Personally Known OR ProdXfi d Identification Personally Known OR Produced Identification
Type of Identification Produced y l , V],L_ Type of Identification Produced . (,
Commission No. 1SQ84. Commission No. ,�
KAREN S. NIELSEN ;e.p KA NIELSEN
� `' Commission# FF 115637
.,a nz
Commission S FF 115637 ''
.a° ea 's� fres
M Commission xpires �-
Y . � June 12, 2018
Revised 07/15/2014 „;;:��° June 12, tot a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS