HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 711/19
9 ` l _
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: 7176 MAIDSTONE DR
Property Tax ID #: 3322-505-0090-000-5
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential X
DETAILED DESCRIPTION OF WORK:
REPLACE 50 GALLON ELECTRIC WATER HEATER IN A GARAGE
j CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
_ Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 975
— Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Utilities: _ Sewer _ Septic Buildine Height-
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTOPHER ADDIEG
WILLIAM HOWARD Name:
Address: 7176 MAIDSTONE DRIVE
Company: FIRST CLASS PLUMBING
City: PORT ST LUCIE _ State:
Zip Code: 34986 Fax: N/A
Phone No.925-639-4230
--
Address: 649 NW CARDINAL DRIVE
City: PORT ST LUCIE FL
State:
Zip Code: 34.,9 83 Gax: N/A
Phone No 772-877-3103
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is S250o or mnru n Qcrnnncn Ri ..:__ _r---
E-Mailfirstclassplumbingcompany@gmail.com
State or County License CFC1429879
_. _.- ------ -• �... cna 1n Jcqulreu.
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:_
Address
City:
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: V Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ✓Not Applicable
Name:
Address:
City:
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 Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
.v%i7 _ 1-9 1 �- I/%
of Owner/ Lessee/Contract6r as Agent for Owner I Signature of Contractor/License Hold
STATE OF L(�,FLORTi
STATE OF FLORIDA...
COUNTY OF L IL COUNTY OF
The fo�going instryo ►ent was acknowledge before me
this day of . 20by
tlZ +nk
Name of person making statement
Personally Known V OR Produced Identification
Type of Identification
Produced
0 . i
k�, I Ii r, ; V
(Signature of Notary Public- State of Florida )
My COMMISSION # FF904048
EXPIRES Juiv .ii -)n, n
REVIEWS FRONT
COUNTER REVIEW
DATE
RECEIVED
I COMPLETED
Rev. 8/2/17
The forgoing instrum t Was acknowledg efore me
this � day of 20c by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
C dGWAO I
(Signature of Notary Public- State of Florida )
Commission Nq. CitySTAL A
My COMMISSION # FF904048
SUPERVISOR I PLANS VEGETATION I SEA ROVE
REVIEW I REVIEW I REVIEW REVIEW I REVIEW