HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `d
Date: 616118 Permit Number:
'
RECEIVED
Building Permit Application JUN 7 nt
Planning and Development Services � Z�.
Building and Code Regulation Division ST. Lucie County, Pprrr.; tiny
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5736 Sterling Lake Drive
Legal Description: PORTOFINO SHORES-PHASE TWO-(PB 43-33)LOT 408(OR 2049-1639: 2543-1990)
Property Tax ID#: Parcel ID: 1312-502-0158-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 50 gal. Electric water heater: Like for Like
CONSTRUCTION INFORMATION:
Additional work toleperformedunder this permit—check a apply:
HVAC L__I Gas Tank ❑Gas Piping Shutters F-1 Windows/Doors
11 Electric R] Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 850 Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michael Jimenez Name: William Downey
Address:5736 Sterling Lake Dr Company: Florida Plumbing&Solar,Ilc
City: Ft. Pierce State:FL Address: 8101 Ft. Pierce Blvd
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.703.362.3275 Zip Code: 34951 Fax:
E-Mail: Phone No. 772.323.4777
Fill in fee simple Title Holder on next page( if different E-Mail: FloridaPiumbingandSolar@gmail.com
from the Owner listed above) State or County License: CFC 1428367
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:M,Chael J menez Name:W dkam Downey
Address:5736 Sterling Lake Dave Address: 5736 Sterling Lake Dr
City: Ft.Pierce State: City: Fon Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:8101 Fc.Piem.81A 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
commencinp, work or recording our Notice of Commencement.
VV V
Signature of Owner Lesse o ractor as Agent for Owner Signature of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF GL.;e- I E COUNTY OF LOC. I E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of _� C� E 20_/e.,by this_G9_day of_ _J_v,�J E 20JI5 by
lA )IL-G) M fUl �0 w�✓6.-ti _I/l�i L p,M M le a w N �
Name of person making statement Name of person making statement
Personally Known OR Produced Identification_ Personally Known OR Produced Identification K_
Type of Identification Type of Id ntification
Produced �V �1 C EN SE, Produced_ LIy&41- 1.1 CEN S E
— GAr� 0'_a ���vvv IJ
gnature of o"-
Publl -State of lorida ) CHRISTOPHER J.F ature ootary P lic-State of Florida )
CHRISTOPHER J.F
NOTARY PUBLIC �'K ` YNOTARY PUBLIC
Commission No.
Ott,* ommission No. 3 STATE OF FLORI old, STATE OF FLORID),
Comm,FF14-2814 Comm,"FF142814
8
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17