HomeMy WebLinkAbout5 El Portal Lane Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fd 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential x
Address: 5 El Portal Lane fort St Lucie, FI 34952
Legal Description: Like for like
Property Tax ID #: 3427-111-0002-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: -
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
I Like for like, remove and install new 30 gallon electric lowboy heater. Located interior of home.
CONSTRUCTION INFORMATION:
CONTRACTOR:
A
Name: Manuel Duran
Additional work to be nerf6rmedunder tispermit—check
HVAC LJ Gas Tank E:] Gas Piping
all
that appy:.
_ Shutters
Windows/Doors
11 Electric
Plumbing
E -Mail: tirstchoiceplumbingsolutions@gmail.com
State or County License: CFC1427369
Sprinklers
❑,Generator
Roof Root pitch
Total Sq. Ft of Construction:
S Ft, of First Floor:
Cost of Construction: $ 800.00
Utilities:Cn
Sewer El Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameDavid sums
Name: Manuel Duran
Address:5 EI Portal Lane
Company: First Choice Plumbing Solutions LLC
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
E -Mail:
Address: 1687 SW South Macedo Blvd
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-879-1414
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: tirstchoiceplumbingsolutions@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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1607 SW south Maoedo Blvd
BONDING COMPANY: Not Applicable
Name:
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 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, 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 NER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to y r pr:!ing
otice of Commencement must be recorded and po on the jobsite
before the first inspe you intend to obtain financing, consult wit lender or attorney before
commencing wvr resour Notice of Commencement.
Signature of w e Lessee/Contras or as Agent for Owner Signature of C n a for/Lice se holder
STATE OF FL STATE OF FL A
COUNTY OF ;s t. COUNTY OF t—
The forgoing instr Vint was acknowledged before me The fgrgoing instrument was acknowledged before me
this � day of #_ e Lvti 20 � �y this T day of 2.0 by
Name of p rs n making statement Name of pVr;on making statement
Personally Known OR Produced Identification Personally Known ', X OR Produced Identification
Type of Identification Type of, identification
Prod !ceo Produced
ene toq
(Signature of Notary Sth LI1C (Signature of Notary Publ c- Sate of nd �
y nava ersa
�lMw
STATE OF IDA Fo�P� NOTARY PUB I1
Commission No. SSea Commission Na. a
r Comm# GG9 859 4 _ E OF FL Pi
VsExpires 211412022 Comm# GG185914
q111, FYniraq 2/14/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17