HomeMy WebLinkAbout7638 EASTERN BLUEBIRDSUPPLEMENTAL 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 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 mit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swi Ing po es, wa , s, screen roams and accesso us to another non-residential use
"WARNING TO OWNER: U'R FAILURE TO RECO A NOVICE OF COMME EM NT M SULT N YOUR PAYING
TWICE FOR IMP YEM TS TO YOUR PROPERTY. A NOTICE OF COM ENC NT MUST BE RECORDED AND
POSTED ON JOB S BEFORE THE FIRST INSPECTION. IF YOU INT TO OBTAIN FINANCING, CONSULT
WITH YOU NDER OR A ATTORNEY BEFORE RECORDING YOUR N T COMMENCEMENT."
�,.
Signature f Own / L ssee/Contract as Agent for Owner Signature of on a r/License H%erSTATE O FLORID STATE OF LORI
COUNTY F �i1c_� COUNTY O _ s
The forgoing ieKtrument w acknowledged before me
this I"" day of � 7 x � N 1 20F\ by
Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
Prod Pced
(Signature of NotaryV +I DUMpfiano
NOTARY PUBLIC
Commission No. STATE 4g}PRIaA
• _ = Comm# GG185914
REVIEWS
RECEIVED
DATE
COMPLETED
The forgoing ins
this �_ day of
Name of person making statement.
by
me
Personally,Known _ OR Produced identification
Type of Identification
Produ ed
( ignature of Notary P lic- State Florida )
QARKYa Ariana Veneziano
Commission No YPUBLIkSeal)
im'j-STATE OF FLORIDA
COU TER REVIEW SUPERVISOR REVIEWRE EW V EGE REVIEW�N EV EW AIME ERNE
FRONT ZNING
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
M
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1.578
Permit Number:
Building Permit Application
PERMITTYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7638 EASTERN BLUEBIRD DRIVE
Property Tax ID #: 3424-800-0104-00-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential xxx
Lot No.
Block No.
LIKE FOR LIKE, REMOVE AND INSTALL NEW 30 GALLON LOWBOY ELECTRIC WATER HEATER (INTERIOR)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
art
_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:
OWNER/LESSEE: CONTRACTOR:
Name BOB TURAN 0 Name: JOSEPH DURAN
Address: 7638 EASTERN BLUEBIRD DRIVE Company: First Choice Plumbing Solutions
City: PORT SAINT LUCIE State: Address: 1687 SW MACEDO BLVD
Zip Code: Fax: City: PORT SAINT LUCIE State: FL
Phone No.
Zip Code: 34984 Fax:
E -Mail: Phone No 772-879-1414
Fill in fee simple Title Holder on next page (if different E -Mail hrstchoiceplumbingsolutions@gmail.com
from the Owner listed above) 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.