HomeMy WebLinkAboutBuilding Permit Applicaiton ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/6/2019 Permit Number: 19 0g. - OI v 5
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Building Permit Application Department
Planning and Development Services perSt.L gie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED'1MMPROVEME "'T,LOCATIO, '`
,
Address: 2011 51st CT, Fort Pierce, FL -
Legal Description: HARMONY HEIGHTS BLK I LOT 2 (0.13 AC)
Property Tax ID#: 2406-502-0156-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Water Heater
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Remove and Replace 40gallon water heater ��/ el / c
1
CONSTRUCTION INFORMATION N
Additional work to be performed under this permit-check all apply:
OHVAC _Gas Tank Gas Piping _Shutters L I Windows/Doors
OElectric 0✓ Plumbing Sprinklers _Generator 1-1 Roof Roof pitch
Total Sq. Ft of Construction: 200 S . Ft.of First Floor: 1746
Cost of Construction:$ 500.00 Utilities: _Sewer O Septic Building Height:
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OWN' ER/LESSEE,,. . . ._ "i& CONTRACTOR., , , tir .
Name Georges Remy Name: Eric Foster
Address:20244 Melville ST Company: Cavalier Plumbing Inc.
City: Orlando State: FL Address: 2993 SE Orange Tree Place
Zip Code: 32833 Fax: City: Stuart ____State: FL
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No. 954-934-4056
Fill in fee simple Title Holder on next page(if different E-Mail: foster4854@att.net
from the Owner listed above) State or County License: CFC1426743
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:- _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 user
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 your Notice of Commencement.-
•
sAic. (3-06_,‘}- F
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST Lv e. COUNTY OF S) L,U c)(
The forgoing instrument was acknowledged before me The for_going instrument was acknowledged before me
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this day of ir&ary ,204 by this 6T day of F2hrvcry' ,204. by
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known A.. OR Produced Identification
Type of Identification Type of Identification
Produced Produced
WI/J\ \/4-6 /v1A\11—
(Signature of otary Public-State of Florida) (Signature of of• Public-State of Florida)
• ' �'Y�4► Notary Public S a
Commission No. Se 1 . Commission No. `, a�' �, 5@
�, -ublic Ste=o�-. •a Sophia Harris
Sophia Harris c' j My Commisaion GG 238873
• My Commission GG 2388734,�6� Expires 05!30/2020
os a Expi . 05130/2020
REVIEWS • + •‘ VISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED •
DATE •
COMPLETED
1ev.9/26/18