HomeMy WebLinkAboutBuilding Permit Application Nov 06 1712:04P First Choice Plumbing 7728797860 P.1
ALL APPLICABLJ'IN F1 MUST BE COMPLETED FOR APPLICATION TO BE ACCEI TED
Date: Permit lumber:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34992
Phone:(772)462-1553 Fax: (772)462-1578 Commercial R esiC11 ntial X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7677 Greenbrier Circle,Port St Lucie,F1 34986
Legal Description:
Property Tax ID#: 3322-700-0098-000-0
Lot No.93
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left SidE:
DETAILED DESCRIPTION OF WORK:
Install Tempera 24 electric tankless water heater
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit–c-heck all apply:
1JHVAC Gas Tank FIGas PipingShutters liWindows/Doors
PElectric FV Plumbing Flprinklers FIGenerator 01 Roof Roof pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 90fl.00 Utilities:F]Sewer Se tic B 11 pilding Height:
OWNER/LESSEE: CONTRACTOR:
Name Dernis Holisky Name: Manuel Joseph Duran
Address:2086 Renwick Drive n First Choi;e Plumbing Solutions i.
Company: , 9
City:Youngstown State:OH Address: 1687 SW S)uth Mace"ao Blbd
Zip Code:44514-1573 Fax: City: Port St Lucie FL
State:—
Phone No.330-565-4782
Zip Code: 34984 Fax: 772-879-7860
E-Mail:d_hollsky@hotmail-com Phone No.772-879-'414
Fill in fee simple Title Holder on next page if different E-Mail: FirstcholCeplL mbingsolu't'ions@gmail.com
from the Owner listed above) State or County Lice ise:.CFCi�427369
If value of construction is$2500 or more,a RECORDED Notice of Commencement is req u red.
9
Nov 06 1712:18p First Choice Plumbing 7728797860 p.1
i,II
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMF ANY: _Not Applicable
Name-Dermis Holisky Name:Rlenuel Joseph Dura
Address:70'77 Greenbrier Circle,Port St Lurie,FI$4986 Address: 2c86 Renwick D e 11
City: Yourgstown State: City: Port St Lucie State:
Zip: Phone Zip: P one: I,
�!I I
FEE SIMPLE TITLE HOLDER: T Not Applicable BONDING COMPA Y: ''i _Not Applicable
Name: Name:
Address:16-SW South Macedo BIM Address: !
City: City:
Zip: Phone: Zip: PI-one: 'I
it
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto clothe work and installation as indicated.
I certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the per it holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and cov pants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for at iy restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in a I respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Ar lendment..
The following building permit applications are exempt from undergoing a full concurrent review:roi m additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory us as to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement ma result tri your paying twice for
improvements to your property. A Notice of Commencement must be recorded a n'd posted on the jobsite
before the first inspection. If you intend to obtain financing�c6nsult with I n An-attorney before
commencin work or reco our a of Commence
;UNTY
tureofOn Lesse ractor as Agent for Owner s' na re of C tract r/Lice oder
TE OF FL5 A OF FLORID OF 1 • ��tl�(� C TY OF i✓t-{-C.
The rgoing instrument was acknowledged before me The forgsiing instrurrl t was acknowledged before me
this�day of limbAxpt 20by this-I"day of _7by
Name of perso making statement Name of perpn making statement
Personally Known OR Produced Identification Personally Known CR'Q"oduced Identification
Type of Identificatio6 Type of identification
Produced Produced I
(Signature of NotaryPublic-Stat FI (Signature of Nctar ublic-Stage of Florida
}} ' `" 43yi
Commission No 7d~ a �NANCYLEELANGFORD ommission No. CYLEELANGFO
f tin'COMMISSION GG2037i i �A2Y COtitMIS-10v GG?0 7221
�� EXPIRES:Octaha 12,2020 i 3 1 7(pIRE9;pccoSa l2,20
1 o�tti
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA ION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REV]EV REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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