HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/2019 Permit Number: l-)(�I m,
Rec..
COUNTY R I .
LE: D P FFa 25
wimmommiammer Building Permit Applicationern,��,; 2040
Planning and Development Services Sr n9 0
Building and Code Regulation Division e c„„6/U ty
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ''
PERMIT TYPE:Gas Hot water heater
PROPOSED IMPROVEMENT LOCATION:
Address: 3001 Anderson Dr
Property Tax ID#: 1432-807-0064-000-3 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK: •
Gas 40 gallon hot water heater change out.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_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: $ 500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name George Porter III Name:Christopher Johnson
Address:3001 Anderson Dr. Company:CNJ Plumbing LLC
City: Ft.Pierce State:_ Address: 1701 S. 37th St.
Zip Code: 34946 Fax: City: Ft. Pierce State: FL
Phone No.772-626-5280 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License 30950
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 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 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 RECOR) D AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN ONSULT
WITH YOU ENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE COMMENCEMENT."
_ — doer
Signature of Owner/Lessee/Contractor a ent for Owner SignatContractor License Hold-
STATE OF FLORIDA -1 CAS( COUNT/ STATE OY OFF
194
COUNTY OF Jr C.�
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this , .qday of V3 ,20 i,1' by this9?day of 1Z ,20(c by
r.\A h S Jo h rNs---- CJI kis jiD 7,-) G-,
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 L.® Produced FC- ER_
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s.. ..,,`PY ELLEN VAUGHN P��
• L? [ or i as I iai r blies •
(Signature _• ;` =�L m '� no er X679 (Signature of Nota E*y. Atacai 1I 1 - N ,
t- ,_ Notary Public
%�''i''' My Commission Expires s,,,.. ,cPF Commission #GG 270079
Commissi t�fv1Sl� October 22, 20 ,�Iy_.. Commission No. ',,.Ni�`$ My cOmmtS ah)Expires
October 22, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 2/7/19
I