HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t
'J -
441
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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 TYPE:Plumbing
PROPOSED INPROVEMENT LOCATION:
Address: 5960 Clydesdale LNPort Saint Lucie, FL 34987
Property Tax ID#: 3309-605-0034-000-1 Lot No.
Site Plan Name Block No.
Project Name:
LDETAILED DESCRIPTION OF WORK:
Like for like, install 50 gallon electrical water heater.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
n;r
Mechanical _Gas Tank Gas Piping _Shutters Windows/Doors
_Electric Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities: _Sewer _Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name Kimberly Albritton Name!Joe Duran
Address: Company: First Choice Plumbing Solutions
City: State: Address: 1687 SW South Macedo Blvd
Zip Code: Fax: City: Port St Lucie State:Fl
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No7728791414
Fill in fee simple Title Holder on next page(if different E-Mail firstchoiceplumbingsolutions@gmail.com
from the Owner listed above) State or County License CFC1427369
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 MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 our property. A Notice of Commencement must be corded aDd posted on the jobsite
before the first ins ection. If intend to obtain financing, consult wit lend or an attorney before
commencing work a. rec Ing your Notice of Commencement.
Signature of O t6e Lessee/C ntractor as Agent for Owner Signature f Colt ctor/License Holder
STATE OF FLR11 STATE OF LOR'I A
COUNTY OF COUNTY �_ t C ti
The forgoing instrument was acknowledged before me The forgoing instrum . t was acknowledged before me
this day of 1= r ti� 20}j by this L 1'1`day of V- ZO t9 by
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 Identification
Produced Produced
(Signature of Notary ublic-State bf Florida) (Signature of Notary Public-Stat of F igla f
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Commission No. a NOTA BLIC �, NOTARY P LI
-STAY Oe94BLIFLORIDA Commission No. o TATE OF A
y a Comm#GG185914 ,Q Comm#GG185914
+ 6b 1Q Expires 2/1 12022 1 �xPir�s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA`I`URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/26/19