HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 19, 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 XXX
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 18501 Mach One Drive
Property Tax ID #: 3215-801-0029-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE AND INSTALL NEW 50 GALLON LIQUID PROPANE WATER HEATER
Lot No.
Block No.
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: $ 800 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RICHARD IANNING
Name: JOSEPH DURAN
Address: 18501 MACH ONE DRIVE
Company: First Choice Plumbing Solutions
City: To S7 • Ly�l� State: ��-
Zip Code: 34987 Fax:
Phone No.
E -Mail:
Address: 1887 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
'Phone No 772-879-1414
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail firstchoiceplumbingsolutionsa@gmail.com
State or County License CFC1427369
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip:. Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 thepermit 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 TH JOB SITE BEF E THE FIRST INSPECTION. IF YOU INf END TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND ATTORNEY BEFORE RECORDING YOUR NOTI OF COM MENT."
Rev. 1
Signatur, of Own L see/Con actor as Agent for Owner
Signature of ontr ctor/Licens%1d
STATE FLORIDA
STATE OF F RID
COUNTY O `=� �!� a '�.
COUNTY OF i:
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1"\ day of kN-\ 20 VN by
this 1'\ day of `�' °�
C_�� , 20 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
Produced
I
Produced
{Signature of Notary Pub%tse Ad@e6-Ziano
(Signature of Notary*-��
NOTARY PUBLICqrNOTARY
PU�LIC
Commission No. s -,
�STATI)LORIDA
Commission No.
STATE OF}A
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1