HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J.
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5311 OLEANDER AVE FORT PIERCE, FL 34982
Legal Description: WHITE CITY N 131.25 FT OF E 80 FT OF S 1/2 OF OUTLOT 7-LESS S 25 FT FOR RD R/W-(0.20AC)(OR 3911-1842)
Property Tax ID#: 3404-501-0527-000-7 Lot No.
Site Plan Name: Block No.
Project Name: ARAUZA
Setbacks Front Back: Right Side: Left Side:
bETAILED DE�S\CRIPTION OF WORK.
RUN 30" OF NEW WATER SERVICE FOR METER TO HOUSE
CONSTRUCTION INFORMATION.
Additional work to e performedorme under this mit—check a appy:
HVAC be
Tank [:]Gas Piping Shutters ❑Windows/Doors
Electric 0Plumbing OSprinklers _Generator
Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$' 1,625.00 Utilities:cnSewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name VELMA ARAUZA Name: RICHARD BASSOFF
Address: 5311 OLEANDER AVE Company: ADMIRAL PLUMBING SERVICES, LLC
City: FT. PIERCE State: FL Address: 2895 JUPITER PARK DRIVE#700
Zip Code: 34982 Fax: City: JUPITER State:FL
Phone No. 213-605-0088 Zip Code: 33458 Fax: 561-744-7101
E-Mail: Phone No. 561-746-1180
Fill in fee simple Title Holder on next page(if different E-Mail: christine@theadmiralplumber.com
from the Owner listed above) State or County License: CFC 1426115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 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 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 job ' e
before the first inspection. If you intend to obtain financing, consult with lender or an attorney befor
commencing work or re orcling your Notice of Commencem
s
_Signature of Owner/Lessee/Agent Sig a e ntractor/License Hold
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF P�drn (; COUNTY OF
The f �ng instru nt was acknowledged before me The for�''ng instrum nt was acknowledged before me
this day of (' (�Lr 20 f'�by this�`1"day of b(/ 20 by
(Name of person acknowledging) (Nam 2
on acknowledging)
/_(Sr
ature of Notary Public-S ate of Florida) (Si ature of Notary Public-State of Floridaersonally Known OR o nally Kno"Produce
Type of Identification Produced �►°"� Notary Public State-ofFb aFy of IdentifiNotery5Pub1lcteofFlorida/� ��f ��` M Commisslon GG 032 y an Clark Colft
Sus
GG 032841Commission No. V3�dS'"IAo,Usemires 11/13/2020 Co ission Noo,p ( 20
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
VELMA ARAUZA
5311 OLEANDER AVE
HOUSE
O
NEW MAIN SHUT-OFF& HOSE BIBB
DRIVEWAY
NEW 3/" PVC WATER LINE '•
Li
METER
ADMIRAL PLUMBING SERVICES, LLC
2895 JUPITER PARK DR#700
JUPITR, FL 33458