HomeMy WebLinkAboutBuildiing permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
A
R T '
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: 7408 PASO ROBLES BLVD
Property Tax ID #: 1301-607-0090-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential xxx
Lot No.
Block No.
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 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 f Windows/Doors
Electric Xplumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sprinklers _ Generator T Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT MARTINO
Namg:,OSEPH DURAN
Address: 7408 PASO ROBLES BLVD
Company: First Choice Plumbing Solutions
City: FORT PIERCE State: FL
Zip Code: 3y951 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 frstchoiceplumbingsolutions@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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:
City: State:
Zip: Phone:
Address:
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 COMMENCEr#�NT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEM S TO YOUR PROPERTY. A NOTICE OF COMME*Cj EMENT MUST BE RECORDED AND
POSTED ON THE JOB BEFORE THE FIRST INSPECTION. IF YOU INTEN -OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR NOTICE F)COMMENCEMENT."
Signature of O ner/ L ssee/Co act r as Agent for Owner
Signature f Contractor/Li se Holder
STATE OF FLOR
STATE O FL RiDA
COUNTY OF •��-� - ��.����-�.; -- _
COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this dayof=_• .Y--- 20L by
this f SDdayof 20 C by
Name of person making statement.
Name of person making statement.
)<---OR
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Prod ed
Prod ced
lk
(Signature of Notary Public- Aate of Florida Jiii
(Signature of Notary Pu lic- State of F! rida )
�� Y Ariana Veneziano
j Ariana Veneziano
Commission No. NOTARY P
NOTARY PUBLIC
Commission (Seal)
o ESTATE OF FLORIDA
J o ATE OF FLORfDA
= Comm#
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19