HomeMy WebLinkAboutBuilding PermitAll APPLICABL FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: ROY HOLCOMB
Property Tax ID #: 3425-707-0012-000-1
Site Pian Name:
Project Name: Re -pipe hot and cold line thru out home.
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Re -pipe hot and c6d Erne thru Gut home_ Master bathroom, 2 Sinks, Shower, Toilet, roman_ Guest bathroom" 1 Sink, Toile#, TublShower Others Kitchen, Washer,. Water heater, Service to house and 3 hose bibs.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply: ,
Mechanical
Electric
Gas Tank
k Plumbing
Total Sq. Ft of Construction:.
Cost of Construction: $ 1100
Gas Piping
— Sprinklers
Sh utter�'i
Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name ROY HOLCOMB
Name: JOSEPH DURAN
Address: 2813 HOOK COURT
Company: First Choice Plumbing Solutions
City: PORT SAINT LUCIE State:
Zip Code: 34952 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 Tide Holder on next page ( if different
from the Owner listed above)
gmaii.com
E -Mail firstchoiceplumbingsolutions@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:
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 Nome 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 accessorys to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN MEN MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY_ A NOTICE OF COMIICE NT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION_ IF YOU INTEND TO NANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE IC
RECORDING YOUR NOTE OF., MENCEMENT."
Rev. 2/7/19
Signature of Owner/ Lessee/Co fora Agent for Owner
Signature f Contractor/License Molder
STATE OF FLORIDA
STATE O FLORIA
COUNTY OF
COUNTYbF _
The forgoing instrume t was ac nawle d fare me
The forgoing i trum nt was acknowledged me
this D—day of :— 20 1 1 by
this day of 20�gby
Name of person making statement.
Name of person making statement.
Personally Known C'*'K' OR Produced Identification
Personally 4(nown Cy\ OR Produced identification
Type of identification
Type of Identification
Pro due
Produ d
(S�gn Lure of Notary OOPS- Stakei Fi "64no
(Signature of Notary Public i2Y f Fi leneziana
NOTARY PUBLIC
q NOTARY PUBLIC
Commission No. _STATEOF(SEWIi IDA
Commission No._+STAT(r3&ff)FLORIDA
� Comm# GG185914
A Comm# GG185914
psi d
REVIEWS
FRONT
ZONING
SUPERVISOR
!PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19