HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 8436 Muirfield Way
Legal Description: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 26 (OR 3968-121)
Property Tax ID #: 3328-802-0029-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Replace existing 50 gallon electric water heater in garage
Lot No. 26
Block No.
CONSTRUCTION INFORMATION:
Additional work toje performed under this permit —check a appy:
L
HVAC F]Gas Tank []Gas Piping Shutters a Windows/Doors
Electric IV -011 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 700.00
Sq. Ft. of First Floor:
Utilities: 0Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name David Waters
Name: James Sinclair
Address: 8436 Muirfield Way
Company: Mr Rooter of the Treasure Coast
City. Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (304) 436-6020
Address: 534 NW Mercantile PI, Suite 119
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-236-7300
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: james.mrrooter@gmail.com
State or County License: CFC1425604
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: David Waters
MORTGAGE COMPANY: _ Not Applicable
Name: James Sinclair
Address: 8436 Muirfield Way
Address: 8436 Muirteld Way
City: Port St Lucie State:
Zip: Phone
City: Port St Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress: 534 NW Mercantile Pl, Suite 119
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
Si ature of Owner/ Lessee/Contractor as Agent for Owner
Signa re of Contract r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
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DATE
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Rev. 8/2/17