HomeMy WebLinkAboutBuilding Permit Application 09/13/2016 10:42AM FAX 7726217882 ALL CITY PLUMBING TWO iA0001/0003
ALL APPLI A
BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /-
Date: L Permit Number: n�(�/�7 •RECEIVED
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Building Permit Application SEP 3 2016 .
Planning and Development services
Building and Code Regulation Division
2300 Virginlo Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED:IMPaOVEMENT LOCATION�:� ::
Address: 2088 W Boothe Drive
Legal Dekription: 2135 40 From$W Cor of E 112 OFNE 114 SW 114 RUN N25ft for POB,TH CONT N 1650,TH E 205.88 FT,TH S 165 ft,THW 204.83 ft to POB
Property Tax ID#: 2421-331-0003-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED..D.ESCRI.PTIO.N.O.F.'WORK ..... :. .. ; ;,
l�. ItsWrr �Yabl 4'D ,� LP
CON.STRUCf
101M.
'C.
Additional wor o e e rmed urt er this perm —crieck all apply:
OHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
aElectric Irl Plumbing Sprinklers Generator l=1 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 1,000 Utilities: SewerSeptic Building Height:
OWNER/LESSEE:..; ... CONTRACTOR:
Name Marvin and Helen Moro Name: Jason Parish
Address:2088 W Boothe Drive Company: All City Plumbing Two, Inc.
City: Fort-Pierce State:FIL Address: PO Box 880641
Zip Code: 34982 Fax: City, Port St.Lucie State:FL
Phone No.979-1426 Zip Code: 34986 Fax; 772-621-7882
E-Mail: Phone No. 772-631-3038
FIII In fee simple Title Holder on next page(if different E-Mail: holly cQallcityplumbingtwopsl_com
from the Owner listed above) State or County License: CFC1427492
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
09/13/2016 10:42AM FAX 7728217882 ALL CITY PLUMBING TWO 1?10002/0003
Sl1I?PIEME 'TAI CONSTRU. 0 LIENS SAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X ' Not Applicable
Name: Name:
Address: Address:
City' State: City: State:
Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 6 permit.
which is in conflict
w th any applicableion HomeaOwners Association rulesabylaws or andpcovenanitss that build
ct orr prstructure
p b t 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 nonresidential 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 Cbmmencement 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
commencing work or recording our Notice of.Commencement.
s
Sign ur Owner/Lessee/Contractor as Agent for Owner SignZZ'IFF
ontractor/License old
STATE OF FLORIDA STALORIDA
COUNTY OF at.LUde co.iy COUNTY OF et.LU69 CWAY
The forgoing instr ent Was acknowledged before me: The forgoing instrument was acknowledged before me
this hay 20t'�by this12U day of scp-mwr 20 L10 by
Jason E,Parish 1 Jeson E.Parish
(Name of person acknowledging) (Name of person acknowledging)
( ' nature of NotaTP ub ic-State of Florida) (S' ature o Notar P bliwState of Florida)
Personally Known V OR Produced Identification Personally Known OR Produced Identification _
Type of Identification Produce I — of Identification Produced
Commisslon No. octaber15,24119 ission No, October98,2o,s. �A L.1 TLr
'' !iflVI 0MVA66ION# CoftANfflRSIQN#
158
EMRU O6ber 15, Ay
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE '
COMPLETE
INITIALS