HomeMy WebLinkAboutBuilding Permit Application ALL.APPdCABLE IINFO'-MUST BE COMPLETED FOR-APPLICATION TO BE ACCEPTED O ° v /9 a
Date:- / b Permit Nu b0crinmern
MD
I`L� '','� DEC 10 2018
E
Building Permit Applicati
planning7nd0evelopmentServlc4ermitting Department
Building and Code Regulation Dnnsion St. Lucie County, FL
2300VirglnlaAVenUp,Fort Pierce Ft 34982
Phone:(772)462=1553 Fax:,(772)462'=157$: C0.117111E?rCial. ROSI&?rltial,X-
PERM.IT APPLICATION_FO'l� Plulnbirig,
PROPOSED 1,MPR0..VEIVI�ENT LOCATI:ON
Address: 271 NE Airoso Blvd Port Saint;Lucie'FL'34963
Legal Description: Like;forlike.
P.roperty`Tax ID 4. J 9.,570- 0041,T- go C` Lot No.
`Site;Plan Name: Block No.
.Project Name:'.
Setbacks Front Back: Right Side: -Left side:..
DETA1LED D'.ESCRIPTION O,F WORK ,-'-
Like for like,swap-out:and install new`40.g8il116n electric heater
CONSTRUCTION i,NFQRMATfON �r
i lona,w.or to e e orme : under t.is,permit-c ec. a appy:,
❑HVAC Gas Tank Gas Piping I _Shutters ❑,Windows/Doors
Electric (Plumbing OSprinkl.ers F Generator Roof Roof pitch
Total Sq Ft of Construction:. v.. S Ff:of First Floor:;
Cost-ofConstruction:$ $00.00' Utilities SewerSeptic. Building Hei'ght::
01NN ER/LES'S Ef CO:NTRACTOR':
NameAlicia oitiz Name:Manuel Duran
Add.res"s
271`NE Airoso.BLVD- Company'-First`Chdice Plumbing;Solutions'LLC
Ci Port Saint Lucie State:FL Address 1,667 Sw South Macedo Blvd
=:
ZIp:Code: 349$3..
F . City: PortSaint Lucie State:FL
Phone No: Zip'Code•.34984 Fax:
E-Mail: Phone No;.772 879=.1.414
Fill-in fee simple Title Holder on next page,( f'different E=Mall -firstchoiceplumbihbsOlutionsggmail.com
from the;Owner,listed above), State or County License CFG142730
if value of conste.ue8dnis$2500 or more,,a RECORDED;Noticepf Commencement is required.;
SUPPLEM"ENTAL,CONSTRUCTION LIEN' W1 J
DESIGNER/ENGINEER: _Not`Appl.icable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:.
City:. State': City:. Statet
Zip: Phone Zi'p: Phone::
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:16d.sw sa;tn Macedo slvd Address-
City: City.:
Zip: Phone:' Zip: Phone:
OWNER/CONTRACTOR AFFIDUIT:Application is'hereby made'fo obtain,,a'perm tto,do,the°work and installation-as indicated.
i certify that no work or installation has.commenced priorto the issuance.of a'permit.7
St Lucie.�Coun�v" make's'no representation that isgranting a permit will authorize th'e erinit holderto'build the subJect structUee.
which is in conflict'with any applicable Home Owners Association rules,:bylaws or anti covenants'that may restrkt or prohibit:sueh
structure._Please:eonsult with.your Home Owners-Association and review your'.dped�for any restrictions:whlch,may�apply.
Inxonsideration:of the.granting of this•requested.permit,-l:do'hereby agree that-.l will,in all respects,'perform the work
in accordance:with the approved;plans,the'F,IoNda Building Cotles Arid St:;Lucte`County:Amendments,
The following.building permit applications:are;exempt from undergoing a full concurrency reviews room additions,
accessory structures,swimming;pools,;fences;walls„signs,screen rooms"antl,accessory uses to another n`on res'dgripal use
WARNING:TOAWNER:Your failure.to.Record:a Noticerof Commencement=may result inyour paying twice.for
improvements to your property :A Notice of Commencement must,be recorded and posted�on; e j.obsite
before the.firstinspection''.1f,you intend;to.obtain financing;'cons�'It'Wlth len ney, before
commencin _work our Notice of-commencem"ent:
Signature „"Qw er/;Lessee/Contactor as Agent or Owner 5lgriat, e of ntr,ctor/License Holder
r
STATE FfL0 DA , STAT OF FLORI A
LOUN OF'
COUNTOF -
Thefor of in"stru' .entviras.acknowledged>before;me The;.orgornginstrumentwas;'acknowledg d eforeme
this cls sL�>J�r
-26_t .tiy this day of� 2` v\� K ,ZOy
r
Yame of peFspn making statement; Name of erg son maOki P statement
Personal) Known ( OR Produced Identification Personally Known R roduced,Identification
Type of Identiftcatioh: Type:ofildentification
Pr ':eq— Produced
-1
til-fA L'A... / JK.—kk.z' . A
(Signature of Notarybtic=:State of` lorida); (SignatLi f*tart'Pu lic-State of.,Londa:)
otpRy Arian VP�zlano �pQy Arians Veneziano
Commisson"No: CommissiorfN OTARY PUBLIC(Seal)
Q NOTA YRUBLIC o -&'ATE OF.17WRID4
STATE OF.FLORIDA o
Comn*GG:18591 Comm#.GG785914
cE i9 Expiret,'211'4/2022 cE ares
REVIEWS FRONT ZONING SUPERVISOR' PLANS. VEGETATION SEA TURTLE. MANGROVE
-
COUNTER' REVIEW, REVIEW REVIEW REVIEW REVIEW REVIEW
-DATE
RECEIVED*.
DATE
COMPLETED
Rev:8%2/17'