HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
N am e: LieseloUe Raper
MORTGAGE COMPANY: Not Applicable
Name : Joseph M Duran
Address: 57'' 7 Travelers Way Fort Pierce Florida 30.982
Tlers Way
Address: 5777rave
City: Fort Pierre State:
Zip_ Phone
City: PortSaint Lucre 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:
UVv1YCK/ LUIV 1 KAI, i UK AFFIUVI I : 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 thepermit 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, l 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
comm your Notice of Commencemer�t
of wn for as Agent for Owner Slgnature o ' nse Holder
STATE OF FLORIDA
COLINTftV
The for, going instrument was acknowledged before me
this C"�day of 201�5 by
Name of p making statement
Personally Known Produced Identification
Type of Identification
Produced
(Signature of Notary P blic- State of arida j
Ariana Veneziano
Commission No. NOjMMpUBLIC
tw
STATE OF FLORIDA
Corrwn# GG185914
ST OF FL RIDA
COUN F _ . � - L-QsC
The forgoing instrument was acknowledged before me
this ��ay of ,,_\, 20M by
Name of peon making statement
Personally Known OEi Produced Identification
Type of Identification
Produced
c
(Signature of Notary Pu lic- Sta WW no
NOTARY PUBLIC
Commission No. TATE OF JbWDA
Comm# GG185914
/ gvnlras 2/14/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CC3C3 N -F
Permit Number:
Building Permit Application
Planning and Develo,pmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462--1553 Fax: (772) 462-1575 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing Q
PROPOSED IMPROVEMENT LOCATION:
Address: 5777 Travelers Way Fort Pierce Florida 34982
Legal Description: Like for Like remove and install new 40 gallon electric heater
Property Tax ID #: 3410-503-0093-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Like for like, remove and install new 40 gallong electric heater
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to(e be orme under t is -permit-- c ec a appy:
L
HVAC __I Gas Tank EJ Gas Piping_ Shutters Windows/Doors
LJ Electric 0 Plumbing OSprinklers O Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800.00
S Ft. of First Floor: _
Utilities:cn Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLieselotte Roper
Name: ,Joseph M Duran
Address: 5777 Travelers Way
Company: First Choice Plumbing Solutions
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No.
Address: 1687 SW South Macedo Blvd
City. Port Saint LucieState: 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 vague or consirucuon is ;>c5uu or more, a mt:Lumutu Notice of Commencement is required.