HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 10/20/2016 Permit Number: EF D
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Building Permit Application OCT 2 1, 2016
Planning and Development Services PER,11AITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Q
PERMIT APPLICATION FOR: Plumbing
PRQPOSED LMPROVEMENT,;LOC AT,I,ON;
Address: 8425 BELFRY PLACE.
Legal Description: POD 28 AT THE RESERVE LOT 59(OR 1803-2977)
Property Tax ID#: 3327-7010062-000-7 Lot No.59
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK
REPLACEMENT OF 50 GALLON HEATER
CONSTRUCTION INFORMATION.
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Additionalwork to be nertormed under this permit—check all tha appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 950.00 Utilities:In Sewer[]Septic Building Height:
OWNER/LESStE• CONTRACTOR:
Name WILLIAM THACKER Name: RICHARD BASSOFF
Address:8425 BELFRY PLACE Company: ADMIRAL PLUMBIGN SERVICES, LLC
City: PORT ST LUCIE State:_ Address: 2895 JUPPITER PARK DR#700
Zip Code: 34986 Fax: City: JUPITER State:FL
Phone No. 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 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 you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notic f Commencement.
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_Signat r of Owner/Lessee/ gent //0_ Signature f tracto ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF FLORIDA COUNTY OF FLORIDA r
The forcing instrment was acknowledged before me The forgoing instrument was acknowledged before me
thisa day of � �Ger 20 Eby this day of (k_* 20 16 by
(Name of person acknowledging) (Name of person acknowledging)
(Sig ature of Notary Public-St a of Florida) (Signa re of Notary Public-State of Florida)
Pe sonally Known OR Produced Identification Personally Known I i
Type of Identification Pro e SUM U1 Florida Type of Identification Pro ce
ry ° Susan Clark Costa
Commission No.�-/ (7 Susaa��ee►►!!��C�II+ slonGGark a
bpd Expires 11/13/2020
032841 Commission No. 6o Explree.l�1/1 12020 032841
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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