HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/20/2016 Permit Number: I
Building Permit Application OCT 2
Planning and Development Services F�Izf',�117"T!;<r
Building and Code Regulation Division Si. Lucie Corin , ; L_
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing R
PR
QPOSED IMPROVEMENT,;LOCATION: ,n
Address: 8371 MULLIGAN CIRCLE#4514
Legal Description: CASTLE PINES CONDOMINIUM (OR 1342-388) UNIT 4514(OR 1524-2766)
Property Tax ID#: 3327-502-0220-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
REPLACEMENT OF 40 GALLON HEATER ' r
W' ' I
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CONSTRUCTION INFORMATION:
Additional work to be Derformed under tis permit-check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric 0✓ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1,075.00 Utilities: Ll Sewer[]Septic Building Height:
OWNER/LESSEE: `CONTRACTOR: �
Name ROSS BARNES Name: RICHARD BASSOFF
Address: 8371 MULLIGON CIRCLE$4514 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. 402-298-8090 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.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name: i
Address: Address: I
City: State: City: State:
Zip: Phone: Zip: I Phone:
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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 hermit 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
commencjgg work or recording our NoticW6f Commencement.
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_Signat r of Owner/Lessee/ gent Signature f tracto ense Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF FLORIDA COUNTY OF FLORIDA
The f rg.Ring instr men was acknowledge, before me The forgoing instrument was acknowledged efore me
this day of GGA h 20 l.by this-,?-[day of IQ.L-iW by 20 by
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(Name of person acknowledging) (Name of per n acknowledging)
(Si ature of Notary Public- tate of Florida) (Sign ture of Notary Public-State of Florida)
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Personally Known OR Produced Identification Personally Known !�OR Produced Identification
Type of Identification Produc pe of Identification Produc
a►tit Notary Public State o Florida
Notary Public State Of Florida
Commission No. (03 7;, Clark Costa mmission No. U� Z sa Clark Costa
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p Expiros iselo 020 032841 Expires" 11/1312020
mission GG 032841
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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