HomeMy WebLinkAbout8513 Belfry PlaceALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
' i J4 7J
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 467-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing -
PROPOSED IMPROVEMENT LOCATION:
Address: 8513 Belfry Place Port Saint Lucie FL 34986
Legal Description: Like for Like
Property Tax iD #: 3327-701-0055-000-5 Lot No,
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Like for like, Install new 50 gallon electric heater
CONSTRUCTION INFORMATION: Ai
Additional work to be performed under this permit— check all apply,,
HVAC Gas Tank E] Gas Piping Shutters ❑ Windows/Doors
❑ElectricI'' I Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800-00
S�Ftj. of First Floor: _
Utilities: Li Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth Hall
Name: Manuel Duran
Address:8513 Belfry Place
Company: First Choice Plumbing Solutions LLC
City:. Port Saint Lucie State: FL
Zip Code: 34986 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: firstchoieeplumbingsolutions@gmail.com
State or County License:
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:
MORTGAGE COMPANY: _ Not Applicable
Name.:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:1687 SW South Macedo Bind
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 theefilrst—ihspec-ice. If you intend to obtain financing, consult with lender or an attorney before
commen5jImw r o Lice of Commencement.
Signature of ner Lessee/Contract as Ager -rt or Owner
Signature of ont ctor/License Holder
STATE OF LORiD
STATE OF OR A
COUNTY - L-��-. — >
COUNTY O
The forgoing instrument was acknowledgd before me
The forgoing instrument was acknowledged before me
this day of 1K 1t��� ��° c , , 20 by
this ]� day of 20 1f�) by
Name of p rson making statement
Personally Known OR Produced Identification
Name of pe son making statement
Personally Known �OR Produced Identification
Type of Identification
Type of identification -
Prodced,
Prod d
4'
{Signature of Notary AMC- State Af Florida)
{Signature of Notary Publi' State of Flo &da )
�A Ariane Veneziano
.%OYA Ariana Veneziano
Commission No. t NOTAR U$LIC
Commission No. NOTAR )_IC
-+STATE OF FLORIDA
o ESTATE OF FLORIDA
Cornet# GG185814
Comm# GG185914
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. $/2/17