HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5019 Permit Number.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort fierce FL 34982
Phone: (772) 462-15.53 Fax: (772) 462-1578 Commercial Residential X
I PERMIT TYPE: PLUMBING --�
�PR�OPOSEDIMPROV�EMENT
LOCATION:
Address: 198 Mediterranean Blvd Port Saint Lucie, FL 34952
Property Tax ID #: 3414-501-1701-0009
Site Pian Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace 30 gallon electric water heater in outside closet area.
Lot No._
Block No.
CONSTRUCTION INFORMATION: I
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:
Cost of Construction: $
Sq. Ft, of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
J Name Wynn Building carp
j Name: William Howard
Company: First Class Plumbing Inc
Address: Highway 8000 S Us Hi hwa 1 Ste 402,
r City: Port st lucie State:
Address:549 NW Cardinal Drive
_
Zip Code: 34952 Fax: n/a
I
City: Port St. Lucie State: FL
Phone No. (772) 8785513
Zip Code: 34983 Fax:
Phone No772-877-3103
E -Mail: NIA
Fill in fee simple Title Halder on next page ( if different
E -Mail firstclassplumbingcompany@gmail.com
from the Owner listed above) I
,&-I..--& - - ----
State or County LicenseCFC1429879
.. -_.__ _. a F%r%_W ivcv rvuuLe 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: X Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
Address:
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 thepermit 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, 1 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
r•
Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA. STATE OF FLORIDA
COUNTY OF A Lu _ i C_ COUNTY OF ST l.uc-, c
The forgoing instrument was acknowledged before me
this 1I `1 day of .�J\1 l 20 (Y by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced' L IN- E -4g C-%Z'2.c�73
ature of Notary Public- State of Florida) Dawn M. Weinki
NOTARY
Commission No. GG �� O U a4 STTATEOPEFLC
Comm# GG1%
• r�Nnc i Q1�
[=; 41/1 'A
The forgoing instrument was acknowledged before me
this 1�1 day of�u �� 20_1,41by
Name of person making statement
Personally Known OR Produced identification 4
Type of Identification
ProducecTL DL F-140 L /? - 2G Z 3
ign o Notary Public- State of Florida)
ARYgss Dawn M. Weini
�pt
mmission No. t! ��j f o� I NOTARY PUBI
-+STATE OF FL(
Comm# GG155
�wCF 191 !=; 4 , „ .,
Rev. 8/2/17
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17