HomeMy WebLinkAboutbuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �0 � �. 1 it' Permit Number:
Kr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 212 NE Lobster Road Port Saint Lucie Florida, 34983
Legal Description: Install 40 gallon natural gas water heater_
Property Tax ID #: 3419-565-0024-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
11 DETAILED DESCRIPTION OF WORK:
Like for like, remove and install new 40 gallon natural gas heater
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to MGas
r Orme un er t is permit —c ec a app y:
HVAC Tank E]Gas Piping _ Shutters F]Windows/Doors
11 Electric L~ J Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
SFt. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name�c _� e v._
Name: Joe Duran
n
Address: 0 \3-
Company: First Choice Plumbing Solutions LLC
City: Q -bZ State: VA-,
Zip Code: 3 `-1 ck,% -2-, Fax:
Phone No,
Address: 1687 SW South Macedo Blvd
City:. Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-879-1414
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: firstchoiceplumbingsolutions@gmail.com
State or County License: CFC1427369
IT value or construczron Is >tsuu or more, a KFLURUED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: joe numr1
Address: 212 NE Lobster Road Port Saint Lucie FBu6da, 34983
Address:
City: State:
Zip: Phone
City: Port Saint Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:1687 sw South Macedo Blvd
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Rev. 8/2/17
Signa re of O ner a/Contractor as Agent for Owner
I
Sign er
STAT FLO IDA
i
ST E OF FLO IDA
COUNTY O
COU
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this (o day of 75 Lr- } - 201 u by
this (s day of 20 \ `5 by
Name of person making statement
Name of person making statement
Personally Known CJS OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Prod ed
Produced
(Signature of Notary Public- Stat of Florida
(Signature of Notary Public- State of Fia ida j
Ariane ,no
Commission No.
Ve�zi�a
Commission No.
NOTA YP BLIC
NOTAR='116'IC
STATE OF FLORIDA
MAriane
STATE OF FLORIDA
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Expires 2'1
/2
F..xpires 2/1.4
022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17