HomeMy WebLinkAboutTurnpike Permit St LucieAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Permit Number:
Building Permit Application
Commercial X Residential
PERMIT TYPE: Plumbing Water Heater
PROPOSED INPROVEMENT LOCATION:
Address: Floridas Turnpike Port St Lucie FI 34984
Property Tax ID C'Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install Stiebel Eltron electric tankless water heater
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ ShuttersA Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 800.00 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name_,�.� ;���� `���_ —7�
Name: Joe Duran
Address:
Company: First Choice Plumbing Solutions
City: State:
Zip Code: Fax;
Phone 'No.
Address:1687 SW South Macedo Blvd
City. Port St Lucie State: FI
Zip Code: 34984 Fax:
Phone No772-879-1414
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail firstchoiceplumbingsolutions@gmail.com
State or County License CFC1427369 �
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name.
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for, any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and past on the jobsite
before the first insp ction. If you intend to obtain financing, consult with lender or ttorney before
commencingwork or cor
ding-y$ur Notice of Commencement.
Signature
r as Agent for Owner
STATE OF FtORI A
COUNTY QF
The forgoing instrument was acknowledged before me
thisaF day of 20 \`A by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Prod reed
(Signature of Notary Pu lic-State of Florida }
1004 Ariana Veneziano
Commission No. NOTARYpII5I�@k
o STATE OF FLORIDA
Signature of
IAC
STATE OF FLO'MDA"
COUNTY OF 171�,� L!A -
Theforgoing instrunlgnt was acknowledged before me
this ' T day of 20� by
I
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
AA Ute -4, 1
(Signature of Notary Public -Mate ci/ Florida }
D�Wy nana eneziano
Commission No. 4 n NOTARY PUBL
STATE OF FLOASA i
Comm# GG 185914
Kev. 5/ Lb/ 16
"VE -1 c}
Vires 2174/20
Expires
REVIEWS
FRONT
ZONING
iUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW-
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/ Lb/ 16