HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 15, 2018 Permit Number:
" J
•
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: 18501 Kitty Hawk Court Port St. Lucie, Florida 34986
Legal Description: AERO ACRES BLK 2 LOT 24 (1.409 AC) (OR 2959-265)
Property Tax ID #: 3215-801-0053-000-4
Site Plan Name:
Project Name: like for like
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
like for like, Install new 80 gallon electric heater
Lot No. 24
Block No. 2
CONSTRUCTION INFORMATION: H.
Additional work to be ertormed under this permit – check a appy:
0HVAC Gas Tank FGas Piping _ Shutters Q Windows/Doors
Electric I r l Plumbing Sprinklers L I Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
S Ft. of First Floor: _
Utilities: — Sewer o Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald & Marsha Ruble
Address: 18501 Kitty Hawk Court
Name: Manuel Duran
Company: First Choice Plumbing Solutions
City: Port Saint Lucie State: Fl
Zip Code: 34987 Fax.
Phone No.
Address: 1687 SW South Macedo Blvd
City: Port Saint Lucie State: FI
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
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: Ronald R Marsha Ruble Name: Manure] Duran
Address: 18501 Kitty Hawk Court Port St. Lucie. Florida 34986 Address: 18501 Kitty Hawk Court
City: Port Saint Lucie State: City: Port Saint Lurie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
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 fir inspe �ntend to obtain financing, cons ith lender or an attorney before
comm cin or rdin our ice of Commencement.
Signature of
STATE OF FLPRIDA
COUNTY OF
as Agent for Owner
The forgoing instrument was acknowledged before me
this i i day of 20Va by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Prod-JI-d'TT"_
(Signature of Notary Publliel
Commission No.
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signatu
STATE OF, FLORI
COUNTY
The forgoing instrurpent was acknowledged before me
this 1; day of 20A'?Sby
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
attire of Notary Public-
NOTARYPUPL�IC Commission No.
:STATE &OLORIDA
ConvyW GG185g14
E ins 2/1412022
ZONING SUPERVISOR PLANS I VEGETATION
REVIEW REVIEW REVIEW REVIEW
Ar anlar en nano
NOTARY (484.,90
STATE O RIDA
Coma* GG 185914
SEA TURTLE I MANGROVE
REVIEW REVIEW