HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
-
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 Residential x
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial —
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S. ocean Dr., Unit 509, Jensen Beach, FL 34957
Legal Description: Island Dunes 2
Property Tax ID #:
Site Pian Name:
Project Name: Hoeg
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1-e
;1
CONSTRUCTION INFORMATION:
A itiona wror to ee orme un ert ispermit –c
0HVAC Gas Tank E]Gas Piping
11 Electric Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1000.00
Lot No.—
Block No.
rr•v-
_ Shutters Windows/Doors
0 Generator Roof Roof pitch
S Ft. of First Floor:
Utilities Sewer 11 Septic Building Height:
OWNER/LESSEE:
Name Roberta Hoeg.
Address: 8800 S. Ocean Drive, 01211 .5i%c;
City: Jensen Beach State:
F�
Zip Code: 34957 Fax:
Phone No.774-930-0897
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Richard Schoenwalder
Company: Sailfish Plumbing, LLC
Address: 1511 NE 35th Terrace
City: Jensen Beach State: FL
Zip Code:
34957 Fax: 772-232-6062
Phone No. 772-678-1444
E -Mail: sailfishplumbing@comcast.net
State or County License: 29839
!f value of construction is $2500 ar more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
pNo tApplicable
LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address: State:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: �—phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: __. Phone:
Not Applicable
State:
Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
5t. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the restrict
or t structure
which is in conflict with any applicable Hme owners
Owners Association Association and re
viebylaws
y ur deed or any restric that
which rmay apP y prohibit such
structure. Please consult with your Home
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.
pt ncurrency review: room
The following building permit applications
fences, xern signsmscreenrgrooms and aoing a full ccessory uses to an
non-residential use
accessory structures„ swimming p in twice for
WARNING TO OWNER: Your failure A Nto Record a Notice of Commencement otice of Commencement mo be recorded and your
paying twice
job site
improvements to your p p Y
before the first inspection. If cordinou intend to our Notice obtain Commen financing,
co .Solt with lender or an attorney
commencingwork or re
/
Si nature of Contractor/License Holder
f,ionature of Owner essee/Contractor as Agent for Owner
STATE OF FLORIDA 1 i t LL
COUNTY OF / / 7F'
The f ing instrent was acknowledged before me
this day of
e Q7- - -P - �
(Name of p3f-SQT acknowledginn97
(signature of Notary Public of Florida
Personally Known OR Produced
Type of identification Produced 1
Commission No. a2177 V
Revised 07/1512014
REVIEWS
FRONT
ZONING
COUNTER
REVIEW
PATE
COMPLETE
INITIALS
STATE OF FLORID �" r,, J1,
COUNTY OF� IA
The for oing instrument.was acknowledged before me
thiday of Y 20 L. by
(Name of person acknowl"ing )
of Nota ulic- State of Florida )
cation iNotary
ly Known OR Produced entif{
dentification Produced
LESLIE C i n No. /--f- � % 7? t/ (Seal)
Notary Public -
My Comm. Expir6
Bonded through Nn.
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