HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'Date: 6/6/19 Permit-Number:
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RECEIVEED
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Building Permit Appl cati®nJUN 5 2019
Planning and Development Services Permitting Department
Building.and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34.982 St. Lucie County, FL
Phone:. (772)462-1553 Fax: (772)462-1578 Commercial esl n-fl`aVf
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PERMITTYPE:GAS WATER HEATER
41�PR'O'rP;OSED I;MPROVEIVIEIVT{LOCATION R fi
Address: 2607 BENNETT DR.
Property Tax ID#: 1432-807-0019-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
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DETAILED'DESCRIPTION OF 1NORK= � r � z` i -
1 ry
CHANGE OUT 40 GALLON GAS WATER HEATER.
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CONST,RUCTIO,N INFORMATION z `3 t` Y ° - ,
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Additional work to be performed under this permit—check all that apply:
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_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE r CONTRACTOR
Name WILLIE MAE BYNOE Name:CHRIS JOHNSON
Address:2607 BENNETT DR Company:CNJ PLUMBING LLC
City: FT. PIERCE State:_ Address:1701 S. 37TH ST.
34946 FT. PIERCE FL
Zip Code: Fax: City: State: j
Phone No.772-332-2927 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page(if different E-Mail CHRISJOHNSON@FPUA.COM
from the Owner listed above) State or County License 30950
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE-TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 considerationof 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT NO TO OBTAIN FIN CING, CONSULT
WITH YOUR LENDER OR AN ATMRNEY BEFORE RECORDING YOUR NO OF COMMENCEKW."
Signature of Owner/Less egftbntractor as Agent for Owner Signature of Contractor/Li se Holder
STATE OF FLORIDA /f STATE OF FLORID!�*--
COUNTY OF a". COUNTY OF
The forgoing instr as knowledged before me The forgoing ins um was acknowledged before me
this 65 day of 201 by this day of 2019— by
r /s _ nJa-n ch s 'kh �s � y
Name of person making statement. Name of person making statement.
Personally Knowny OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature o � c a+ o F a) (Signature of Nt ry Public-State of Florida)
AUDREYB.HUM--P)�IIREY �6^•,
Commission No. MMISSIO }30p817 Commissio } �: AU DREYB.HUMPHR4Seal)
y g. EXPIRES:March 6,2023 '* c*= ISSION#GG 900617
'fcc gP' Bo ",,. ;a`,, EXPIRES;March 6-2wn
F.• nded Th Notary Publ�Underwriter
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAT ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
Rev. 1
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