HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY �`w..
F L 0 P 1 17 A
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: 13954 Encantardo Circle Ft Pierce, FL 34951
Legal Description: Like for like
Property Tax ID #: 1306-111-0001-000-0
Site Plan Name:
Project Dame:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Like for like, remove and install new 30 gallon medium electric heater.
Lot No.
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
NameJoseph Revella
Address: 13954 Encantardo Circle
Name: Manuel Duran
Additional work to beej rtormed under
HVAC I J Gas Tank
this permit— check
❑Gas Piping
all nappiy:,
_Shutters
Windows/Doors
11 Electric i l Plumbing
Sprinklers
E -Mail: firstchoiceplumbingsolutions@gmaii.com
L=J Roof Roof
,Generator
pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 800.00
Utilities:'nSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoseph Revella
Address: 13954 Encantardo Circle
Name: Manuel Duran
Company. First Choice Plumbing Solutions
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
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: 1687 SW South Macedo 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 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, coftsult with lender or an attorney before
commenci erl ,or-fecording your Notice of Commencement. ---
Signature
-
Rev. 8/2/17
Signature of Ow essee/Contract r as Agent for Owner
Signature pf Ca� tractor/License Ho Der
STATE OF LORI A
STATE OF FLORIDA,
�, 1_.�_�C...:�
COUNTY O
COUNTY Ql; . :. � - _,,- �' *
The forgoing instrument was acknoyrledged before me
The forgoing instrument was ackno ledged before me
this ^\ day of - �y�R�� _ u� 20 i C by
this day of " .., 20 1�5 by
Name of pefr`j�n making statement
Name of pers n making statement
Personally Known OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type ofidentification
Pro ceo
Produced
I/C Lit "Ia's
Signature of Notary ublic- State o Florida j
(Signature of Notary Public- State of FI rich)
Commission No. }
k'Qn'N "�ct���A y ,SSe*iana Veneziano
(�
Commission No.\� ���'.�
NOTARY PUBLIC
Y ` ESTATE OF FLORIDA
NO DLIO
ate( �- +STATE OF FLORIDA
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4/2022
ANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17