HomeMy WebLinkAboutBUILDING PERMITAtt APPTICABTE INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fart Pierce FL i4982
Pho ne: (7721 462-1553 Fax: (7721 462-L578 Commercial Residential
PERMIT APPLICATION FOR: ptumbing
PROPOSED IM PROVEM ENT LOCATION :
Address. 9603 SOUTH INDIAN RIVER DRIVE FORT PIERCE FL 34982
Legal Description:19/20 36 41 THAT PART OF N 107.75 FT OF S 215.5 FT OF SEC 19 LYG E OF FEC RR
AND N 107.75 FTOF S 215.5 FT OF FRACT SEC 20 WITH RIP RITS (1.71 AC) (OR 3727-964)
Property Tax lD #:
Site Plan Name:
Lot No.-
Block No.
Project Narne:
Setbacks Front Back:Right side:Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 40 GALLONS ELECTRIC WATER HEATER IN THE GARAGE
itronal wor r€ O€le
is permit - c appry:
|-} windows/DoorslrHVAC
E Iectric
Gas Tank
Plumbing
Eors Piping T Sh utte rs
GeneratorIsprinklers l Roof Roof pitch
Total Sq. Ft of Constnuction:
Cost of Construction: S 440 Building Height:
CONSTRU CTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
Name Reynaldo Gonzalez
Address-9603 S lndian River DR
Citrr. Fort Pierce Stater FL
Zip Co6e' 34982 Fax:
phone No. (786)352-666 1
E-Mail:
Fill in fee sirnple Title Holder on next page ( if different
from the 0wner listed above)
Narne: ALEKSEY GERASKIN
Company:G PLUMBING INC
Address: 2286 SW IMPORT DRIVE
City:PORT SAINT LUCIE State' lL
Zip Co6g' M953 Fax:
phone No. {772)414-7346
E-Ma il: GPLUMBINGINC@GMAIL.COM
state or county License- cFC1428396
|f value of construction is S25@ or more, a RECORDED Notice of €ommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Add
City
zip:
ress:
State:
Phone:
MORTGAGE COMPANY' X Not Applicable
Name:
Add ress:
City:State:
zip:
-
Phone
FEE SIMPLE TITLE HOLDER: L Not Applicable
Name:
Add ress:
City:
zip:Phone:
BONDING COMPANY: L_Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv makes no reoresentation that is grantinq a permit will authorize the permit holder to build the subiect structure
whic-tiii in mnflict with anv doplicable Home Owilers Asiociation rules, bvlaws or and covenants that may restrict 6r prohibit such
strucfure. Please consult with liour Home Owners Association and review'your deed for any restrictions ui'hich may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, 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 concurency 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 insoection. lf vou intend to obtain financins, consult rarith lender or an attornev beforebefore the first inspection. lf you intend to obtain financing, consult,with lender or an attorney before
commencins work or recordins vour Notice of Commencement. , / ':
Revise d 07 lL5l20L4 My Comm. Explros APr
Bondod through ilationrl
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
PersonallyKnown-oRProducedldentification
Type of ldentification Produced
Commission No.(Seal)
//rr,.r r-*,v/ il G!') .t u,{
(Signature of Notarypublic- State of fulida )
./PersonallyKnown-oRProducedldentitjcationY
Type of ld'entification Produ r"a F / ilL*
-commission N". {#r'i t}, l*W,c*rdr-j--iffi
STATE'OryF{OBIqA /
couNTY oF #" 7 / ,,:.'^ {
The forgoing instrurnent was acknowledged before me
(Name of person a knowledging )
SEA TURTLE
REVIEW
PLANS
REVIEW
MANGROVE
REVIEW
VEGETATION
REVIEW
SUPERVISOR
REVIEW
ZONING
REVIEW
FRONT
COUNTER
REVIEWS
DATE
COMPLETE