HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 3329 COLUMBRINA CIRCLE
Property Tax ID #: 3425-703-0016-000-7
Site Plan Name:
Permit Number:
Building Permit Application
Commercial Residential xxx
Lot No.
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 30 GALLON ELECTRIC LOW BOY WATER HEATER FROM GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters,r _ Windows/Doors
Electric Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN MCNEELY
Name: JOSEPH DURAN
Address: 3329 COLUMBRINA CIR
Company: First Choice Plumbing Solutions
City: PORT SAINT LUCIE State: _
Zip Code: Fax:
Phone No.
Address: 1687 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No772-879-1414
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-M ail firstchoicepiumbingsolutions@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 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 OWNlE1.YOUR FAILURE TO RECORD A NOTICE OF COMMENC EN AY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS- TO YOUR PROPERTY_ A NOTICE OF COMMkNCEMi`NJKUST BE RECORDED AND
POSTED ON THE JOV-SITE BEFORE THE FIRST INSPECTION_ IF YOU INTEND TO/lOBTAIN FINANCING, CONSULT
WITH YOUR LENWR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF,(;MMENCEMENT."
r
Signature of Q,`Yner/ Lessee/Contractor as Agent for Owner
Signature of CoAtr'ractor/Lice e H)pIder
STATE OF FLORIDA
STATE OF FLO IDA
COUNTYOF•t_C �,-��
COUNTY OFWu
The far oing instrument was acknowledged before me
The forgoing inftrument was acknowledged before me
sday
this day of Yv�� � 20 VA by
this of YV\G6 20 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known �k OR Produced Identification
Type of Identification
Type of Identification
Prod ed
ProduTd
rJ
(Signature of b i !tea €Nda )
(ignature of Notary ubli f I d eneziano
NOTARY PUBLIC
STATE OF FLOR%I)
c� NOTARY PUBLIC
_ STAT�QgIfLORfDA
Commission
Commission No. a
� G185914
Comrr1# GG185914
1 Expires 2/14/2
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLAINS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19