HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y �
Date: Permit Number:
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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2900 NORTH Al#8A
Legal Description: THE ATRIUM ON THE OCEAN UNIT 8-A(OR 3431-523)
PropertyTax ID#: 1425-702-0025-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION Of WORK:
----------------
REPLACEMENT OF 50 GALLON ELECTRIC HEATER WITH BALL VALVE
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
❑HVAC E] Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑✓ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,090.00 Utilities:[]Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FERNANDO(UBIDIA Name: RICHARD BASSOFF
Address:214 SOUTHWOOD DRIVE Company: ADMIRAL PLUMBING SERVICES, LLC
City: LUDLOW State:MA Address: 2895 JUPITER PARK DRIVE#700
Zip Code: 01056 Fax: City: JUPITER State:FL
Phone No. Zip Code: 33458 Fax:
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 INFORMATIONS:'
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 jo si
before the first inspection. If you intend to obtain financing, cpNult with lender or an attorney bef e
commen_png work or recording our Notice of CQmpnmencem nt.
s
ature of Owner/Lessee/ ent S' ure o Contractor/License�Hci(d_/
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALMBEACH ARMS COUNTY OF PA-13EACH
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The�forrgoing instru t was acknowledged before me The forging instrument was acknowledge before me
this(J_day of r��� 20 (kP by this qday of !'a� AIb4' 20 �by
IZ1 ,Ckaf—d &'V-6_W
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(Name of person acknowledging) (Name of person acknowledging)
( ignature of Notary Public-State of Florida) (Sign re of Notary Public-State of Florida)
Personally Known OR Produced Identification P -sonally Known Produced Identification
Type of Identification Produced of Identification Produc
aa+v� N ry public State of Flofl //�� v3 _'V° N tary Public State of Florida
Commission No. 03- v ppttsa Co ission No.67 '0 I;
$tisan Clark Costa S N41ark Costa
AM - My Commisaw GG 032841 ExpireCo i issio n GG 020 032841
e� Expires 1111312020 OF IV
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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