HomeMy WebLinkAboutBuilding Permits Application 'I
Feb 21 19,07:14a Jensen Beach Plumbing 7722256779 p.1
All APPLICABLEINFO MUST1BE COMPLETED FOR APPLICATION TO BE ACCEPTED AU 06
Date: a' �A''' 6 Permit Number: ��
14.
`COUNT
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
PERMITTYPE:Water heater change out
PROPOSED IMPROVEMENT•LOCATION:
Address: 9239 Short Chip Circle Port St. Lucie 34986
Property Tax ID##: 3334-50170144-000-4 Lot No.6
Site Plan Name: Block No. Cl
Project Name:
:DETAILED DESCRIPTION•OF WORK:
Remove 50 gallon electric water heater in garage and Install new 50 gallon electric water heater in garage
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CONSTRUCTION INFORMATION: ..
Additional work to be performed under this permit—check all that apply:
_Mechanical 'Gas Tank Gas Piping _Shutters Windows/Doors
_Electric 4.Plumbing _Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 900.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: . "
Name COP—.1 L 1 SS Name: 4th l� L�.9� �1 C1
Address:: 51.0, \lp JQCJ Company: ZNJtr, ReCQChp�AIVu1ir�
City: COICC c�� L�4C�Q State:R.- Address:1D G (E 1Jc-� _,
ZipZLic1
Code: SSG Fax: City: �'1�.�`'� tR� ��icState:l—(-_
Phone No. Zip Code: cJCl Fax:Y3" 1c)--1-19 ,I
E-Mail: Phone No n.W--',04,0Z0
Fill in fee simple Title Holder on next page(if different E-Mail riyatr 014)it(zer\i-riCr k.” \1 .(LYI\
from the Owner listed above) State or County License __17 I L3 ',
if value of construction is$2S00,or more,a RECORDED Notice of Commencement!s required,
If value of HVAC is$7,500 or more,a RECORDED NOtiee Of Commencement is required
Feb 21 19,07:14a Jensen Beach Plumbing 7722256779 p.2
SUPPLEMENTAL CONSTRUCTION LIEN-LAW INFORMATION: .
•
DESIGNER/ENGINEER: _Not Applicable li MORTGAGE COMPANY: _Not Applicable
Name: 1 I Name:
Address: I 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 1
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, I
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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION_ IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE ' MENCEM T."
-.
ignature of Owner/Lessee/Contractor as Agent fo + ner Signature of Contractor/License Holder `
STATE OF FLOE; ,, ll STATE OF FLO I A `
COUNTY OF 1 I 1 K) COUNTY OF tv°�� -tL )
The Boring instrument was acknowledged before me The forcing instrument was acknowledged before me
to.thisvl'-' day of 1--F6 ,2O., by this' day of 1..-Eli ,20 9 by
Name of person making statement. Name of person making tatement.
Personally Known ✓ OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of identification
Produced Produced .
I
(Sig ature of Notary Public-State of Florida) (Signature of Notary Public-State • . .
G'si t.AR1AH A1iLLS 41;^' ,, MARIAN MILLS
Commission No. an d GG 100122 _. •
Won$GG t00i22
;ti Commission No.
A,.: 1.Expires June 3,2021
��Juno 3,2021
,,,' !or-sal-NuTroyFein butaneC004TOt9 MYyi:^�'6ondadTkuTmyF•fi0r�nn•00030 70to
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW '
DATE 'I I
RECEIVED
DATE
COMPLETED 1
'ev. •