HomeMy WebLinkAbout7801 SALERNO RDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
r-n[I 1IT
Planning and Development Services
Building and Code Regulation Division
2200 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7801 SALERNO ROAD
PropertyTax ID #: 1301-606-0143-000-1
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK.,
Permit Number:
Building Permit Application
Commercial Residential xxx
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 GALLON ELECTRIC WATER HEATER
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
R�
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric (lurn
bing
Total Sq. Ft of Construction:
Cost of Construction. $ 800
Sprinklers
Generator _ _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name DOROTHY DUBUQUE
Name: JOSEPH DURAN
Address: 7801 SALERNO RD
Company: First Choice Plumbing Solutions
City. FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.
Address: 1687 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 firstchoiceplumbingsolutions@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:
Add Tess:
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 molder 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 I - YOUR FAILURE TO RECORD A NOTICE OF COMM6tEMENT MAY RESULT IN YOUR PAYING
TWICE FOR 1 ,PR YEMENTS TO YOUR PROPERTY. A NOTICE OF COAMENCEMF�IIIT MUST BE RECORDED AND
POSTED ON THE J n--E-BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 013TAIN FINANCING, CONSULT
WITH YOUR LENDS R AN ATTORNEY BEFORE RECORDING YOUR NOTIarDF COMMENCEMENT_"
l
Signature of ner/Lessee/Contractor as Agent for Owner
Signat re o ontractor/Licerise Holder
STATE OF F RIDA``<:
STATE F FLQRIDA-�
COUNTY OF .._� `ti �'
COUNTI�OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged fore me
`
this i day of � � , , 20 \ \ by
this day of � 20 � �y
Name of person making statement.
Name of person making statement.
gs
,�'
�
Personally Known 'OR Produced Identification
Personally Known OR Produced Identification
of Identification
Type of Identification
ced
Produced
j 1
lignature
ski Yeneziano
of Notary Publi*"'VC�IVEXPirt&21412022
(Signature of NotarrYublic-M a geik*i6a )
NOTARY PUBLIC
oNOTARY PUBLIC
Commission No.STAtT�glf FLORIDA
Commission No oT OF FLOt$DI)
Comm#GG188914
Comm#GG185914
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/ 19