HomeMy WebLinkAboutBuilding Permit Application Jan 30 1709:34a .First Choice Plumbing 7728797860 p,1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPI ED
Date,01130/2017 Permittuber:
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Building Permit Applicat n
Planning and Development Services
Building and Code Regulation Divisiob
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 it the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 9231 Wentworth Ln Port St Lucie F134986
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Legal Description:,POD 20A At the Reserve
Property Tax ID#: 3327-801-0026-000-0 li
Lot No.18
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Sir!
DETAILED DESCRIPTION OF WORK:
Replace 40gi Electric water heater Like for Like
CONSTRUCTION INFORMATION:
Add
��''itiiona work-to to (ewe] orme un er t 3s permit—c ec a app y:
(HVAC L_I Gas.Tank QGas Piping _Shutters Windows/Doors
L�Electric Lr 1 Plumbing Sprinklers Generator Roof, Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor
Cost of Construction:$ 800.00 Utilities: Sewer a S ptic Buiidin'9 Height:
OWNER{LESSEE: CONTRACTOR:
Name Stephen Sykes Name: M Joe Duran
Address•60 Mountainuiew Dr Company: First Ch ce Plumbing Solutions
Pittsfield Ma 1667 Sw Macedo 61 Yd
City: State•_ Address:
Zip Code:01201 Fax: City; Port 5t Lucie 9 State:F#
Phone No. Zip Code: 34984 `," Fax:'7 -879-7860
E-Mail: Phone No. 772-879-1414
Fill in fee simple Title Halder on next page(if different E-Mail: Firstchoiceptmbingsolutions aRgmail.com
from the Owner listed above) State or County Lict rise: CFC1427369
If value of construction is$2500 or more,a RECORDED Notice of Commencement is req fired.
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Jan 30 17 09:34a First Choice Plumbing 7728797860 1 p•2
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE CO PANY: !Not Applicable
Name: Name-
Address: Address: I
City: State: City: 9. State:
Zip: Phone: Zip:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMI IANY: Not Applicable
Name: Name: i
Address: Address:
City: City: I
.Zip: Phone: Zip: Phone: I
1 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 pe mit holder,„to build the subject structure
which is in conflict with any:applicable Home Owners Association rules,bylaws or and c 'venants that may restrict or prohibit such
stru cture,.Please consult with your Home Owners Association and review your deed for ny restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,f all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County imendmenits.
The following building permit applications are exempt from undergoing a full concurren y review,room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory ses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement rr aiy result in your paying twice for
improvements to your property.A Notice of Commencement must be re(brded drid posted on the jobsite
before the first insp ion. If you intend to obtain financing,consult with ender or an attorney before
c mmencin wor or ecordin our Notice of Commence ent. q
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na ure o wn Factor as Agent for owner VSignatuontract r/Licens Holder;;
STA OF FLORIDA LORID CO OF �� iC` l �
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this day of 5-cxn 20 aby this_-3a day of 20 n_by
(Name of person acknowledging) (Name of person ack wledging',)
All
(Signature of Notary Public- of Florida) (Signature of Notary ublic- f Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification roducedr. '1
Commission NoFiEb� (Seal) Commission Nov� ' (Seal)
wTINAARAMALHO jAIRAMALfo
Revised 07/151 1. TINA
i^ H ARY PURL -STATE OF FLORIDA
?r :NOTARY PUBLIC-STATE OF.FLORIDA
REVIEWS r XPtR a R PLANS -t 541
M. 2u MANGROVE
CC}UNTER REVIEW' REVIEW REVIEW REVI REV!,EW REVIEW
DATE 'I
COMPLETE
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INITIALS j