HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C (INTY
F L O R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 1855 BAR HARBOR DRIVE
Permit Number:
Building Permit Application
Commercial Residential xxx
Property Tax ID ##: Z30.5 Z1 l ^ 0025 -000045,
Site Plan Name:
Project name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 20 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'
`r
Generator
Sq. Ft. of First Floor:_
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name ELEANOR CHMYLAK
Name: JOSEPH DURAN
Address: 1855 BAR HARBOR DRIVE
Company: First Choice Plumbing Solutions
City: FORT PIERCE State:
Zip Code: 34945 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:
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 Horne 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 OWqER: YOUR FAILURE TO RECORD A NOTICE OF COMM", CEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEIMiENL�4IUST BE RECORDED AND
POSTED ON THE ,SOB *TE BEFORE THE FIRST INSPECTION. IF YOU 1N_ END TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF COMMENCEMENT'S
�
F
Signature of O ner' essee/Contractor as Agent for Owner
Signature otCon�ract6W- -cens6 Holder
STATE OF FL RI A
STATE OFORIDA
COUNTY OF �_�LC i
COUNTY OF
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _qS day of 1�.j 1 — 20 ��` by
this day of i \ 20_�C�by
Name of person making statement.
Name of person making statement.
Personally Known `.� OR Produced Identification
Personally Known "�C OR Produced Identification
Typ of Identification
Type of Identification
Pro 'uced
i
Producedk
Signature of Notary Pu lic- StateAgUipRe6no
(Signature of Notary Public- St to of Florida )
aIPAY
NOTARY PUBLIC
Commission No. �� TATE LbF21[7A
Commission No. ARY 1AriaRa venSeal)
Comm#GG185914
a o NOTgRYpeziarro
o U8
REVIEWS
FRONT
Expires
ZONING
SUPERVISOR
PLANS
VEGETAT>' ag1
�4 fi fiL0 1�D,Ay,
S�OH85 7NGROVE
VA
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
I l74l2REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19