HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 Virgini i Avenue, Fort Pierce FL 34982
Phone: (77Z)462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Water Heater Replacement
PROPOSEO INPROVEMENT LOCATION:
Address: 9941 PERFECT DR 136
Property Tax j ID #: 3327-703-0088-000-1 Lot No. Golf Villas II
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace exiting 50 gal electric water heater in utility room outside apartment
CONSTRICTION INFORMATION:
Utilities: Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 700 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Mi odular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: i 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
constructjion.
OWNER/LESSEE:
CONTRACTOR:
NameSadruddin E Patel
Name: James Sinclair
Address: PO Box 4826
Company: Mr. Rooter of the Treasure Coast
City: Wheaton State: _
Address:534 NW Mercantile PI, Suite 119
City: Port St Lucie State: FL
Zip Code: 60189 Fax:
Phone No. (630) 842-1414
Zip Code: 34986 Fax:
Phone No772-236-7300
E -Mail:
Fill in fee simple Title Holder on next page (if different
E-Mailjames.mrrooter@gmail.com
State or County LicenseCFC1425604
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:
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, consult with lender or an attorney before
commencing; work or recording vour Notice of Commencement. A
re of Owner/ Lessee/Contractor as Agent for Owner I Signaturg'of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5� l �C_ COUNTY OF fs%
The forgoing instrument was acknowledged before me
this Afl_ day of 3 Ckj% 201�_ by
Guru!= 5 Si r4ACe i.1fr
Name of person making statement.
Personally Known t"'�OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public -
Commission No.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
KRISTEN L BENSLI
Notary Public - State of
al) Commission N FF 971
,MY Comm. Expires Mar t
The forgoing instrument was acknowledged before me
this A'—L day of 20J5 by
r�rn-eS �tr►c�la.i,P.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Sig ture of Notary Public- State ok� �p KRISTEN L BEN
orida :. * Notary Public - State
Qtm ission No.
-i�o4 �S ' • al Commission #� FF
���a Comm. Expires Ma
SUPERVISORI PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
2020 L