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HomeMy WebLinkAboutBuildling Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/26/19 Permit Number: / �(d, 7 'COUNTY .; RECEIVED F t, 0 •R .4 D A —- - Building Permit Application MAR 26 2018 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County, 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT TYPE:GAS WATER HEATER PROPOSED IMPROVEMENT LOCATION: Address: 3010 JAUNITA AVE Property Tax ID#: 1432-807-0039-000-9 Lot No. ' Site Plan Name: Block No. r Project Name: DETAILED DESCRIPTION OF WORK: CHANGE OUT 40 GALLON GAS WATER HEATER. it 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 ARVIN A.JOHNSON Name:CHRIS JOHNSON Address:3010 JAUNITA AVE Company:CNJ PLUMBING LLC City: FT. PIERCE State:_ Address: 1701 S. 37TH ST. Zip Code: 34946 Fax: City: FT. PIERCE. State:FL Phone No.772-940-3282 I 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. .�....,.k.tt�..0 A SIPi EIVIENT#MONSTR1CTIONLENAVINEOMI© i a.z..xt.. 1 yiv, oi A, .kia,43 -4 >� !. ;n .s,. titi . : ,� ,, ,-4 " s> .UMat srlii-tMmMr ,P w:Gi DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: I Address: City: State: City: State: Zip: Phone Zip: Phone: ci ii 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 z 'ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A A r ORNEY BEFORE RECORDING YOUR NOTI OF COMMENCEMENT." -Signature of Owner/LesContractor as Agent for Owner Sign. 'ure of Contractor/License 7, .er • STATE OF FLORIDA STATE OF FLORIDA COUNTY OFL� COUNTY OF a- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me this e, day of ,20191by this cl-Q$iay of (V1 (� ,20/ ( by Q leliri.S b h nayki Cihn3 J 6 ,-, Name of person making statement. Name of person making statement. Personally Known OR Produced Identification_ Personally Known OR Produced Identification Type of Identification Type of Identification Produced FL DL Produced ��� ---g' L/IC-Cr , (Signature of Notary Public-State of Florida) (Signature of N. era 'j)c-Stat , aletz0l IN .. =o '.State of FIorlda-Nota! Palo /oi Commission No. .,a ',, � ``/�•: Co�rr,laalran # ®§�fl ""' ELLEN �,�, I✓tiN Commission No. _';,fir - I I dr" / .p Gtaie of Plono%Nowt' public %�oFF��s � � a. 1"+.+4 C6mmil§�ldfl 0 Gd DOM '�„rP Qatb C 411, '',°111. t Ciira�,s91¢m, mpec mss. i �uw ` REVIEWS - -- _ - ISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I RECEIVED DATE COMPLETED Rev.2/7/19 1