HomeMy WebLinkAbout9206 WORLD CUP WAYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9206 World Cup Way
Property Tax ID #: 3327-8010051-000-4
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential xxx
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 50 GALLON ELECTRIC WATER HEATER FROM INTERIOR OF HOME
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical
_ Electric
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Gas Tank
Plumbing
Gas Piping
Sprinklers
�
Shutters it
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name PETER DOWD
Name: JOSEPH DURAN
Address: 9206 WORLD CUP WAY
Company: First Choice Plumbing Solutions
City: PORT SAINT LUCIE State: rL
Zip Code: 34986 Fax:
Phone No.
Address: t687 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-879-1414
E -Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E -Mail frstchoiceplumbingsolutions@gmaii.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 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 fon 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 COMM
TWICE FOR IMP VEMENTS TO YOUR PROPERTY. A NOTICE OF C
POSTED ON THE JOB SIT RE THE FIRST INSPECTION. IF YOU
WITH YOUR LENDS AN ATTORNEY BEFORE RECORDING YOUR NE
Signature of
STATE OF FRID
COUNTY OF
as Agent for Owner i Signature of
STATE OF FL
COUNTY OF
MAY RE SIN YOUR PAYING
UST BE RECORDED AND
OBTAIN FINANCING, CONSULT
IMMENCEMENT."
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this �`�'day of ° �� 20� by this 111`day of 4;i�� 20 ! s, by
Name of person making statement.
Personally Known 17)�OR Produced Identification
Type,of Identification
Prod, ced
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
I
(Signature of Notary Pu lic- StateA4& Wdelziano signature of Nota lic48Wt;k PF'WMg )
pthRY,� NOTARY PUBLIC
e NOTARY PUBLIC ev
Commission No. 4 L�,11� Commission Noa -STATE OF FLO
TATE CTF`>Y'CVRIDA i)
0 0 = Comm# GG 185914
Comm#GG185914
Xpir
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED