HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03-18-2019 Permit Number:
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
PERMIT TYPE: WATER HEATER REPLACEMENT
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Address: L4U VV AKIJUK AVL
Property Tax ID #: 3419-501-0115-000-2
Site Plan Name: RIVER PARK
Project Name: FILS-AIME WH REPLACEMENT
REPLACEMENT OF 40 GAL ELEC WATER HEATER -LIKE FOR LIKE
C0 CT N (NF�ATIQN:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1
Cost of Construction: $ 795.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor: 1
Utilities: _ Sewer _ Septic Building Height:
iT value oT consiruction is :�LSUU 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.
C0N7RACTOR
M1- h hd
NameNIXON FILS-AIME
Name:ANTHONY AGRUSA
Address: 240 W ARBOR AVE
Company:NORTH COUNTY PLUMBING
Address: 2647 PRESIDENT BARACK OBAMA HWY
City: PORT ST LUCIE State: _
Zip Code: 34952 Fax:
City: RIVIERA BEACH State: FL
Phone No.
Zip Code: 33404 Fax: 561-625-8717
E -Mail:
Phone N0561-625-9414
Fill in fee simple Title Holder on next page ( if different
E -Mail NORTHCOUNTYPLUMBING@HOTMAIL.COM
from the Owner listed above)
State or County LicenseCFCO26530
iT value oT consiruction is :�LSUU 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.
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 INTEND TO OEWAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ENCEMENT "
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DESIGNER�ENGINEER:
Applicable
STATE OF FLORID
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COUNTY OF J7
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The forgoing instrument was acknowledged before me
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MORTGAGE COMPANY:
Applicable
Name:
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Name of person,Mbking sta ment.
Name of person making stateme t.
Name:
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Address:
Type of Identification
Produced
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Zip: Phone:
REVIEWS
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
SEATURTLE
MANGROVE
Name:
COUNTER
Address:
REVIEW
REVIEW
Address:
City:
REVIEW
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 INTEND TO OEWAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ENCEMENT "
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDAc j
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STATE OF FLORID
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COUNTY OF J7
COUNTY OF i ea
The forgoing instrument was acknowledged before me
/ir�''fifay �rL `%
The for oing instru t wa acknowledged efore me
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this of 20n by
this day of ZO fby
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L Acl o,
Name of person,Mbking sta ment.
Name of person making stateme t.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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" ""�. MELANIE JOHNSON
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(Signature of Notary P P) SUC
(Signature of Notary P i t�idagommis=ion # FF 19767
STATE OF FLORIDA
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Commission No. ComnMCSif30)12W7
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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