HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/13/19 Permit Number: 1C\O V •?tea---)
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._-_. Building Permit Application
Planning and Development Services MAR ZOIC
Building and Code Regulation Division permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County
Phone: (772)462-1553 Fax: (772)462-1578 Commercial j Residential Y
PERMIT TYPE:GAS WATER HEATER
PROPOSED IMPROVEMENT LOCATION:
Address: 2710 WALKER DR.
Property Tax ID#: 1432-806-0037-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
CHANGE OUT 40 GALLON GAS WATER HEATER.
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 HYCITD D. FRAZIER Name:CHRIS JOHNSON
Address:2710 WALKER 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.772-429-0467 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page(if different E-Mail CHRISJOHNSON@FPUA.COM
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.
R5-LI,
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: '1
City: City: I
Zip: Phone: Zip: Phone: 'I
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. j
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 I
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 used
"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 B •ECORDED AND
POSTED ON THE JOB SITE BEFOR HE FIRST INSPECTION. IF YOU INTEN TO OBTAIN FU CING, CONSULT _
WITH YOUR , DER OR ANA BEFORE RECORDING YOUR NOTI F COMMENCE
Signature of Owner/Lessee 'ntractor as Agent for Owner Sig ature of Contractor/Liceir'older
STATE OF FLORIDA' STATE OF FLORIDA C C'u
(I ( (_ �I ,---____
The for,going instrument was acknowled a before me The for oing e s know
ledged t before me
this ay of /� ,2C by this f day of .�%L ,20 j by
CA S c�� Is Oin ,c(in t -
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifica •nType of Identif cation},
Produced vA f____ Produced �,�J
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(Signature of lotq '—:L "•UGHN (Signature ofi Q: 'd��blic S✓I If l �i)IN
I =�` 4V VI,/,,,
of Florida-Notary Public a2 „i `s State of Florida-Notary Public
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Commission No. _* !"_A *= Commissio eat 270079 ; : i,aec Commission #io 79. '
-""i ►o, (� )G Commission ; •F:•': 'E'pias
+� aQc My Commission Expires II - mission x
"""` October 22 2022
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REVIEWS FRONT 1 ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER i REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE '
COMPLETED .
Rev. 2/7/19 ' ,
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