HomeMy WebLinkAboutUntitled ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: To "� Permit Number.
J
Building Permit Application
Planning and Development Services o
Building and Code Regulation Division � t
2300 Virginia Avenue, Farr Pierce FL 34982 ��
Phone:(772)462-1553 Fax: (772)462-1578 Commercial 1t Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED.IMPROVEMENT LOCATION:
Address. 9940 South Ocean Drive Unit 1102 Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONCOMINIUM ONE APT 1102 ANC.7875 PERCENT INTIN COMMON ELEMENTS(OR 786-800)
SECITOWWRANGE:021375!41 E
Property Tax ID#: 4502-502-0109-000-8 Lot No.
Site Plan Name: Block No.
Project Name: BAIONE
Setbacks Front Hack. Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Drain and remove existing water heater on the floor under the A/C unit in the Hallway Utility Closet.
Supply and install new 0 allon Bradford White®' Residential lowboy electric Water Heater. Supply ,
and replace the water heater pan. Y, b lionIsmer
CONSTRUCTION INFORMATION: rjc
Additional work to a er orme under this permit–check a app
HVAC 0 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric PIPlumbing Sprinklers E-1 Generator Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 830.00 Utilities:[]Sewer Elseptic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name BAIONE,Joseph 3 Eileen Name: James M Ager
i Address:9940 S Ocean Drive Unit 1102 Company: Plumbing By Bishop
ji City: Jensen Beach State:FL Address: 2606 SE Willoughby Blvd
i Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-229-4081 Zip Code: 34994 Fax:
E-Mail: Phone No. 772-286-5872
Fill in fee simple Title Holder on next page(if different E-Mail: info@plumbingbybishop.com
1 from the Owner listed above) State or County License: CFC1429566
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Z Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation 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 subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants 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,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 concurrency 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 yo ying twice for
improvements to your property.A Notice of Commencement must be recorded an osted on the jobsite
before the first inspection:If you intend to obtain financing, consult withlenderan attorney before
commencin work-or recording our Notice of Commencement.
Signature of Owner/Lessee/Contracts�r-a for Owner Signature of Contrac,tof License Hol ec7—r
_pyo
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L'lA{�-TIN COUNTY OF M05-fZJ1 L
The forgo' g instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-15ay of a
MI `; ,20 1`) by this,�a�day of /`f A u 201 h-'/ by
A
Name of person a Ing statement Name of person m g ement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
✓ V l.'
(Signature of (Signa ure of Notary Public-State of Florida)
"•• LUCINE KHATCHERIAN CHAN .,by l4. "'. LUCINE KHATCHERIA1SCH N
Commission Ni `•
i �
MISSI008*992837 Commissio BYO = SION 0 FF9M7
EXPIRES May 16,2020 "?�� EXPIRES May 16,2020
(aW)398-0153 FlandaNmary5aivic®.oan (dD7)398-0153 FtorMONota Servke.rnn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17