HomeMy WebLinkAboutBuilding Permit Application JAN-11-2017 20:36 FROM:ACE PLUMBING 7725678494 TO:17724621578 P.1/4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/12/2017 Permit Number:
tiY' 1 J1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2900 Virginia Avenue,Port Pierce Ft$4962
Phone:(772)462-1553 Fax: (772)462-1578 Commercial. XXX Residential
PERMIT APPLICATION FOR: —
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N Hwy Al �—
Legal Description: See attached
Property Tax ID tt: 1425600(Doco 00n Lot No,
Site Plan Name: Block No.
Project Name: Sea Palms Condominium Association, Inc.
Setbacks Front Back: Right Side: Left Side:
D:ETAI:LED DESCRIPTION OF WORK:
Water heater change out in mechanical utility room on the north side of the building
=c6N�T-kUCTION INFORMATION:'
Adclitionalwork To—be nerformed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric Plumbing Generator
0Roof Roof pitch
Total Sq. Ft of Construction; S . Ft,of First Floor;*
Cost of Construction:$ 950.00 Utilities:llSewer 05eptic Building Height:
OWNER/LES EE: CONTRACTOR:
Names 'JF &me; Daniel Washburn
Address-3200 N Hwy A1A Company; Ace Plumbing, Inc.
City; Ft pierce State.,Fl Address: 665 4th Place_
Zip Code: 34949 Fax.772.288.0175 City; Vera Beach State:FI
Phone No.772-341-8378 Zip Code: 32962 Fax; 772-667-8494
E.Mail.resginapin@gmail,com Phone No, 772-582.3780r
Fill in fee simple Title Holder on next page(if different E-Mail: ace,plumbing@comcast.net
from the Owner listed above) State or County License: 20940
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
JAN-11-2017 20:36 FROM:ACE PLUMBING 7725678494 TO:1772462157e P.2/4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: T,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 Notice of Commencement.
S
5ignature of ner Lessee Contractor as Agent for Owner Si nature of ontraetor/License Holder
STATE OF FLORID t`ri STATE OF FLO ID
COUNTY OF is iL COUNTY OF kik Nex
The\fo�rgoing Instrument was acknowledged before me The forgoing Instru�ir ent was acknowledged before me
this.t.sL day of 20 1--)by tills,tel,day of Y`a ,�,._20 by
Name of person acknowledging) (Name of person acknowledging)
• A
]',.A AA -N C��LAI—A
(Signature of Notary Public-State of Florida) (Sign Lure of Notary Public-State of Florida)
Personally Known OR produced identification Personally Known OR Produced Identification
Type of identification roduced Type of identification Produced
Commission No.�1r-C1r �p ,Y Nater
APRIL CA I�ommissl �P�!
t: y pubue•8 i.of Flows, Nota► C CA�
Iffy C a►e
Revised 07/15/2014 Commlulan*FF 0981t9 �}• comm 8� t LOP Fpe
dut F?0
t1 S46
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS