HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C(:X i iii _r'Y
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:Plumbing
PROPOSED INPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: 160 NE BRACKEN RD Port Saint Lucie FL 34983
Property Tax ID l#: 3419-570-0029-000-6
Project Name:
Lot No.
I DETAILED DESCRIPTION OF WORK: i
Like for like, remove and install new 40 gallon electric heater.
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 800.00 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt frorl?F Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction :
Mobile/Modular for temp. construction office: ' Bldg. involved in distrib. of electricity:
Other: Flood Zone: BFE: Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNERAESSEE:
CONTRACTOR:
NameDorothy White
Name: Manuel Duran
Address: 160 NE Bracken Road
Company: First Choice Plumbing Solutions LLC
Address: 1687 SW South Macedo Blvd
City: Port Saint Lucie State:
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No.
Zip Code: 34984 Fax:
Phone No 772-879-1414
E -Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mailfirstchoiceplumbingsolutions@gmail.com
State or County License CFC 1427369
from the Owner listed above)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 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:
Address:
City:
Zip: Phone:
City:
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.
i
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 yo r propert . Notice of Commencement must be recorded and posted on the jobsite
before the first inspe tia you intend to obtain financing, consult wits lender or an attorney before
Commencing word or cording your Notice of Commencement. �—
Signature of Own r/ ssee/Con actor as Agent for Owner
STATE OF FLOk1DA �
COUNTY OF
The forgoing instrument was acknowledged before me
this t� � day of �._ L �_,. 20 i `� by
Name of person making statement.
DATE
RECEIVED
DATE
COMPLETED
Signature of
Holder
STATE OF F_ RIp
COUNTY OF ' ., f�
The forgoing instrument was acknowledged before me
this iL day of 20 by
Name of person making statement.
Personally Known N OR Produced Identification
Type of Identification
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Commission No. o -r ESTATE OF FLORIDAO
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PLANS VEGETATION SEA TURTLE MANGROVE
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Personally Known OR Produced Identification
Type of Identification
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of
Holder
STATE OF F_ RIp
COUNTY OF ' ., f�
The forgoing instrument was acknowledged before me
this iL day of 20 by
Name of person making statement.
Personally Known N OR Produced Identification
Type of Identification
iature of Notary P
Commission No. o -r ESTATE OF FLORIDAO
y Gomm# MA914
s4cftgl�% Expires 2/14/2022
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW