HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
N a m e. Stephen L Somers
MORTGAGE COMPANY: _ Not Applicable
Name: Manuel Duran
Ad d ress: 5521 Spanish River Road Fart Pierce Florida 34951
Address: 5621 Spanish River Road
City: FartPierce State:
Zip: Phone
City: PortSainlLucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress: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. 8/2/77
Signatur of O ee/Contractor as Ag nt for Owner
Signatut ctor/License Holder
STATE F FLORI
STATE FLORID
COUNTY Ls r��.3�—��
COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged efore me
this (a day of 201hby
this �T— day of 20_1 y
Name of pers�ma�.k,ing statement
Name of person making statement
,
Personally Known L_ \R Produced Identification
Personally Known _,_�oR Produced Identification
Type of Identification
Type of Identification
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(Signature ry FI ��I
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Commission No. " ST(MIPF FLORIDA
Commission No. NOTARY fC
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/77
ALL APPLICABLE INFO MAST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
J.r:
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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5621 Spanish River Road Fort Pierce Florida 34951
Legal Description: Like far Like 50 gallon electric heater
Property Tax ID #: 1312-503-0028-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install new 50 gallon electric heater
CONSTRUCTION INFORMATION:
Additional work to benej orme under tis permit —checka appy:
11HVAC 'LJ Gas Tank ❑Gas Piping_ Shutters a Windows/Doors
11 Electric 0 Plumbing 05prinklers L_I Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
SFt. of First Floor: _
Utilities:Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameStephen L Somers
Name: Manuel Duran
Address: 5621 Spanish River Road
Company: First Choice Plumbing Solutions LLC
City: Fort Pierce State:FL
Zip Code: 34951 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@gmaii.com
State or County License: CFC1427369
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.