HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/25/2019 Permit Number: t`C1
J. y RECI:TyFD
COUNTY
_L O RIP P A FEB 2.31019
lememmuremmono Building Permit Applica , ;k,
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Planning and Development Services Lucie county
ent
Building and Code Regulation Division
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: 2703 Tropic Blvd.
Property Tax ID#: 1432-801-0058-000-0 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 Robert McDowell Name:Christopher Johnson
Address:2703 Tropic Blvd Company:CNJ Plumbing LLC
City: Ft.Pierce State:_ Address: 1701 S. 37th St.
Zip Code: 34946 Fax: City: Ft. Pierce State: FL
Phone No.772-464-3957 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 RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN END TO OBTFINANCING, CONSULT
WITH YOUR LENDER OR AN,,,A- ORNEY BEFORE RECORDING YOUR N E OF COM EN MENTI"
Signa ure of Owner/Less Contractor as Agent for Owner Signature of Contractor/ 'cense Holder
STATE OF FLORIDA I STATE OF FLORIDA _ `
COUNTY OF l� .Un.- COUNTY OF S\__
� \)..
The forgoing instruent was acknowledged before me The for oing instru ent was acknowleded before me
this day of ,20Lby this.2 day of ,2c by
ln In 5 So\r) h hs6/1/4......1
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio n ) � OType of Identification n
Produced r-L- I✓ l___ Produced r- �
C...X1C/ ek. _
(Signature of Notary Public-State of F o.; .. • , (Signature of Notary Public-State of Florida)'
Commission No. .�PPYP�B ELLEN F orid�-S*Y Public ° r,_
Commissi Seal
+f�1*"'' �`�rrrrr,, 4ELLEN V
Commission #GG 270079 �� yr , AUGHN � °
;� i1 My Commission Expires ?9%�ct',State of i
'rrniiri'` October 22 2 22 _ ;.i *s orida Notary Publh,
:..: Commi•sion #GG 270079
REVIEWS - o S ING SUPERVISOR PLANS i r , 'TId,P(ICc ibhJ11,ATIEes ANGROVE
COUNTER � REVIEW REVIEW REVIEW „ Oct.f,e,` :r� 2 REVIEW
DATE I
RECEIVED
DATE
COMPLETED
ley. 2/7/19
1