HomeMy WebLinkAboutBuilding Permit Application Dec 18 17 02:10p First Choice Plumbing 7728797860 p.2
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: aA vlo)l, oPermit Nt imber:
o�
Building Permit Applicati 3n D
Planning and Development Services DEC 18 201
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 py
Phone:(772)462-1553 Fax: (772)462-1578 Commercial ResT vntial•X, , _
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8258 Sandpine Circle Port St Lucie FL,34952
Legal Description:
Property Tax ID#: 3426-703-0034-000-2 Lot No.20
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: left Sid :
[DETAILED DESCRIPTION OF WORK:
Like for Like - 40 Gallon Natural Gas water heater installation
CONSTRUCTION INFORMATION:
Additional work to nGas
orme un er t is perms —c ec a appy:
HVAC Tank ❑Gas Piping _Shutters Q Windows/Doors
0Electric 0 Plumbing ❑Sprinklers [:]Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 800.00 Utilities:]Sewer 5 ptic Building Height:
OWNER/LESSEE: CON RACTOR
Name Sean Lynch Name:,Manuel Josef h Duran
Address:8258 Sandpine Circle Company: First Ch iice Plumbing Solutions
City: Port St Lucie State:F� Address: 1687 SW outh Macedo Blvd
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No. Zip Code: 34984 Fax: (772)879-7860
E-Mail: Phone No. (772)8 9-1414 I
Fill in fee simple Title Holder on next page(if different E-Mail:'Firstchoicer lumbingsolutions@gmail.com
from the Owner listed above) State or County Li ense: CFC1427369
If value of construction is$2S00 or more,a RECORDED Notice of Commencement is re uired.
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Dec 18 1702:10p First Choice Plumbing 7728797860 p.3
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORM TION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE CON IPANY: _Not Applicable
Name:Sean Lynch N a m e:Manuel Joseph ou am
Address:-5 Sandpne Q—Port St Lucie FL.34952 Address: 8258Sandp:11 Ctrde
City: PortSYLuue State: City: Portstu'do State:
Zip: Phone Zip: hone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMP NY: Not Applicable
Name: Name:
Address:I687SWS t'MacedoMva Address:
City: City:
Zip: Phone: Zip: hone:
OWNER CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permi to do the work and installation as indicated.
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 thepe mit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and c ivenants 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,ir all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County, mendments.
The following building permit applications are exempt from undergoing a fu 11 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 ay result in your paying twice for
improvements to your property.A Notice of Commencement must be re orded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin work or [gcording your Notice of Comme cempnt.
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Signatu of r/Lessee/Contractor as Agent for Owner Si ature C ra or/License Holder
STAT COUN OF F ORIDA � L ( G STOAT TM OF ORI A �L I
The f IIn�g instru nt was acknowledged efore me The forgoing inst_ �OR
s acknowledged before me
this %y of _20_Q/by this ay of 20 IV by
�o L 7J�c
Name of persmaking statement Name oaking statement
Personally Known OR Produced Identification Personally KnowProduced Identification
Type of Identification Type of Identificati
Produced Produced
(Signalure of Nott/a��__Public-State of Florida (Signature of No/tta Pu/clic-State of Florida I
Commission No.lS �o PNs Ill JCyLEE LANGfO ommission No!� Qv-37� 4 "
MY COMMISSION 9 GG2037 + C4 LEE LANG 2O
°� MY CC�IMISS,OY p CG27 7
17� EXPIRES Octa6a 12„020 Cr�` EXP:FES:October t2
REVIEWS FRONT ZONING SUPERVISOR PLANS; VEGET TION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REV+ REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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