HomeMy WebLinkAbout5410 PALMETTO DRAll APPLICABLE INFO 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, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5410 PALMETTO DRIVE
Property Tax ID #: 3402-607-0230-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
LIKE FOR LIKE, REMOVE AND INSTALL NEW 50 GALLON ELECTRIC WATER HEATER FROM GARAGE
CONSTRUCTION INFORMATION:
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: $ 800
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DONALD O`NEAL
Name: JOSEPH DURAN
Address: 5410 PALMETTO DR
Company: First Choice Plumbing Solutions
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.
E-Mail.
Address: 1687 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-879-1414
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
E-Mail firstchoiceplumbingsolutions@gmail_corn
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 OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEI�MAY RESULT IN YOUR PAYING
TWICE FOR IMPRO ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCE T MUST BE RECORDED AND
POSTED ON THE JO , ITE RE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT
WITH YOUR LENDER N ATTORNEY BEFORE RECORDING YOUR NOTICE OF C ENC ENT."
f
Signature of wner. Le ee/Contra or as Agent for Owner
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this�'clayof 20 Nc\by
Name of person making statement.
Personally Known r-V�,_OR Produced Identification
Type of Identification
Produced
(signature of NotarYPublic �tevgXbg pia
NOTARY UBLI
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iA ES
o p�c�
Commission N q s; P FLOfI}
Comm# GG185914
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Signature of Contractor/Lit-,nse Holder
STATE OF FLORIDA
COUNTYOF J ` -�N- . L ."—A %_°: I',-
The forgoing instrument was acknowledged before me
this>day of ` _4 20 �`� by
Name of person making statement.
Personally Known
Type of Identification
Produced ,
OR Produced Identification
[Sign2itere of Notary wpli - St%A!RflJJ9EWs-hb
Q o�, NOTARY PUBLIC
Commission No. STATE OF FL U
Comm# GG185914
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