HomeMy WebLinkAboutBuilding Permit Application 03/18/2018 16:43 1 ELITE ELECTRIC INC PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED `�
r� Permit Number: �V? \
Date: �/ 1
•
... ........ .
Building.Permit Application
Planning and Development Services MAR 2 Q 201
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial - Residential Residential X
PERMIT APPLICATION FOR: Plumbing 0
n..,r',,., •r.. .:. n. 'n'.. :-.;..<<....a,.,v y.>:•,;:,:-�;...,,".,.r. rz...,.n,rJ. ., F ,:r7� �i
�.J S ;21' i 11 t,�. ..' ;.hi.}1+.47k '�7t%f�:�.4{r+z'P d(�• ru i i`F��F i�,'�FN.r�i$�,'4�"3 ��Yft r,y?�;5.!�i 2f �% i'
� bt
r y
r
).., ,5 f Al a•,.= r J r: _ .:M .r .F-.,:,1..'l ,'i•. �.}.:,f..i wat'. ,.:Y F.4 1, '°F.
Address: 1611 Barcelona Ave Fort Pierce FL 34946
Legal Description: Install 3/4 PVC water line from city meter to house.
Property Tax ID#: 1433-801-0082-000-0 Lot o.11
Site Plan Name: Blocli No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
r te`<rt:i3� .Z1s�t� o fu Jx,;YJ: ,r 0.T���{w h zy:�cxt qt t�tt1){ S" �, i;rSS ,�7iR4M1 414: fs1
�i{rd�gttr1Y'«7 ;.{.y tdW.2�1 aS.,+i t-yi�,?�P IN „>"a_ t :S.r1F,�'. «,t r>•r'••>.t
hi+�s?:i"i+,.i^.':r^�G: +,y3 �+
Viz'i/ r z , -.Y 3 Lie r r ;\,. ��_ '.rrt,.;," d :r•d.'t:;L'G4
sy n o .' G
°)¢`P,; 4 2,`��,
r.+ B
Install 3/4 PVC water line from city meter to house, 60 feet
,,�.yy A,x.. l,?r.11�'' z i�fU'��. 4 ri.\ti?iy{^.. ,f i✓3�,, tit,}( ;t4.. .4,�e..n+. ,+3...ltX q:((vNXr �+.43�(tn,,f 1V`} b�){�� ('�. tYr.l;�4 �.} .x.;15, -�^11 rS''. StN Y�.'p
n.(. ,.�Ir., i 1,� ,, �1` y}����'7(r'��'Y(JY�S'.•/� "T{iSl�';:.inj7uA{Rlt'�til�i.4�Sf+fi.1M#y ll�i`(tA , �i t'TC i ,}y 1:�1�r+4f ti�'Y.YSti<r�'' ^}2hY tier'; kali ll�+i�;. ,<'{�2t�Jr�ntp
, r �1y� �� a -il���e G��'.-�ti.;C'f,i-'��r,<''' >:ak.v'}..a,. ,.zt +175; y jrt�,x...r<�yr E,�ru.,�.,1�.'`,tr`!i.�,-•.iyl, �.�fs.-n.!11t.- <. . .h.t..•
tttona wor to e e orme un er t is permit—c ec 'aat app y:
(HVAC Gas Tank ❑Gas Piping Shutters F]Windows/Doi rs
1,x.1
Electric Plumbing Sprinklers Generator 0.Roof Roof pitch
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ O &C utilities: Sewer O Septic Building Heigh
s a. .:#Cj 'yw }. arC rfvri"2r�ti. 2 2�7�Sti�.rrC�.�JthS�i��£LF'.N
t Nr... +rJ/ay�,'.yr4r t;• .k it vl '<Lf l�yi a l 1fti NSs-c 2+l
r 4✓tr �4G�(t 4+y 1��1 fiy S` ril '.
".:i S .r;� .r r,•� d1 .r_.,,.,., ,,a,LJ)t, v 24 .171.1.. fn..2"<,G. «::
Name Robert Anderson Name: doe Duran
Address-1611 Barvelona Ave Company: First Choice Plumbing Solutions
City:
Fort Pierce State: Address: 1687 SW South Macedo Blvd
Zip Code: 34946 Fax: City:
Port Saint Lucie ate:FL
772 631-0763 Zip Code: 34984 Fax: 772-87917860
Phone No.( �
E-Mail:
Phone No. 772-879-1414
Fill in fee simple Title Holder on next page(if different E-Mail: firstchoiceplumbingsolubons@gmail.co
from the Owner listed above)
State or County License: GFC1427369
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
03/28/2028 26:43 2 ELITE ELECTRIC INC PAGE 03
j t ,+.r., 7 a.y i 4 -..�� , ;� •,.,` f u rR Po t�i ( +,>;'Y`'� ! :d••�`£ `t :'-;\ .Y is i 4s U,14. _, y ._`_: „4 r. ,
.,F 1:.,....h'Sr .h .`."Vo;, ^5., r'ey:',o{.S bar hpp �;.V,•S,Jf xi �j. t, rr .;.#�S fr,.. . R'�'..s�.,,?"''; >iM �'+ �..:y�tg{,�'.tSw`� ...J.y;4 ft.h,,,Y.µt"v 0..e :�q4r:y};�': Af,r'
.Y, f e£ A•� . ��� .,,. 1'Y..!l E. ,wS�YSn rb Yq� � I 4e��'4 '1 1i i t 1 {(, � 1.
:s .. SVr,.t,. r,,,.,, iu t4t.?,ai.,,�>t .,•....:,,�l�l,h,.:.zY�'. fr��.,.,+� �; •,0('23.�r...�,y�ir�,,?j
DESIGNERJENGINEER: �,Not Applicable MORTGAGE COMPANY: Not A plicable
Name:RobertAndersan Name'��furan
Address:1611 Ave Fart Pierce FL 3asas Address: 1611 samlona Ave
City: FartPierce State: FL -. City: PonSWntLude ate:
Zip: 3046 Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Af I olicable
Name: Name:
Address:ln?sw south Maaedo aw Address:
City:
City:
Zip' Phone' Zip Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installati n as indicated.
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 psubje t structure
which Is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or rohlbit such
structure,Please consult with your Home Owners Association and review your deed for any restrictions which may a ply.
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the k
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-residen I use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying Ice for
j improvements to your property.A Notice of Commencement must be recorded and posted on t _jobsite
before the first inspection, If you intend to obtain financing,consult with lender or an attorney b fore
j cornmencing work or recording our Notice of Commencement.
1
Signature of 1QfikwrLLessee/Conjlractcr as Agent for Owner Signature of t
tra ens Holder
STATE OF STATE OF FL
COUNTY OF RIDA . ZU.Qt!K, COUNTY OF ORIDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged bef a me
this 20 day of .a..r Q..x� 20 1%by this-4=Qday of 1N.,cj.,,. '_t .201 by
Name of person making statement Name of person making statement
Personally Known l,t&„_OR Produced Identification Personally Known�_OR Produced Identifi tion
Type of Identification Type of Identification
Prod ced Produced
Signature of Not&;Public- tate of Florida} (Signature of Notary Pub c-State of arida}
nwiai�o(Seal Ariane Yan
t Arianaye_ } Commission No. 7A
Commission N RF' L
NOTARY PUBLIC -+STATE OF I~LOR A
_STATE OF FLORIDA �; ,~Comm#G01859
E*roe 2/14/20I
REVIEWS dO�Axplre �� SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17