HomeMy WebLinkAboutCounty Permit TurnpikeAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
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COUNTY
F t C] R 1 r.
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
PERMIT TYPEplumbing
PROPOSED INPROVEMENT LOCATION:
Address: Floridas Turnpike Service Plaza (MIL 144)
Property Tax ID #: 3431-122-0001-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial X Residential
Install Steibel Electric tankiess water heater in mens room
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters.
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
Lot No.
Block No.
Windows/Doors
Roof
Sq. Ft. of First Floor:
Utilities: — Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name
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: FL
Zip Code: 34984 Fax:
Phone N0772-879-1414
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailfirstchoiceplumbingsolutions@gmail.com
State or County LicenseCFC1427369
It value of construction is X2500 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:
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.
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 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 toy ur property. A Notice of Commencement must be recorded and posted on the jobsite
before the first insperion. If inend to obtain financing, consult with`l.ende arr attorney before
commencing work or riding your Notice of Commencement.
Mev. y/ Lb/ lis
Signature of Ow er/ Le e/_Contract as Agent for Owner
Signature of ntract /License
STATE OF FLO IDA
STATE OF FLIDA
COUNTY OF ` �,\ \ �+ �_� �.
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this a_2) day of 20I-\ by
this day of � _„� _, , � ..-.. _ 20� by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of id ratification
Produce
Produced
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(Signature of Notary P l - 5 Wmf anb
(Signature of Notary Pt'tate%AFJdmdr4iano
NOTARY PUBLIC
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Commission No. � _STATE OF S@1il A
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW,
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Mev. y/ Lb/ lis