HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
' J
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: 402 SE TRANQUILLA AVE
Property Tax ID #: 3419-530-0087-000-6
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential XXX
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 GALLON ELECTRIC WATER HEATER IN GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
—Mechanical
Electric _
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Lot No.
Block No.
Gas Tank —Gas Piping _ Shutter5� _ Windows/Doors
Plumbing _ Sprinklers _ Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOANNA BEAVER
Name: JOSEPH DURAN
Address: 402 SE TRANQUILLA AVE
City: PORT ST_ LUCIE State: r-1-
Zip Code: 3495 3- Fax.
Phone No.
Company: First Choice Plumbing Solutions
Address: 1687 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-879-1414
E-Mail:
Fill in fee simple Title Bolder on next page { if different
from the Owner listed above)
E-Mail firstchoiceplumbingsolutions@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.
1 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: Not Applicable
Name:_
Address:
City:
Zip:
Name:_
Address:
City:
Zip:
Pho
Phone:
Name:
Address:
State: City: State:
Zip: Phone:
Not Applicable
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: YOill1q FAILURE TO RECORD A NOTICE OF COMMENCE ENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMEN MENT RECORDED AND
POSTED ON THE JOB SST ORE E FIRST INSPECTION_ IF YOU INTEND TAIN FINANCING, CONSULT
WITH YOUR LENDER O ATTORNEY BEFORE RECORDING YOUR NOTIC CO, MENCEMENT °f
1
Signature of Ow er/ L ssee ontracto as Agent for Owner
Signature of ant or/License Hol er
STATE OF FLO DA
STATE OF FL ID
COUNTY OF
COUNTY OF
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The forgoing in�trume t wad ac knowledged before me
this 4 day of c W 20 ! 57 by
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Name of person making statement.
Name of person making statement.
Personally Knowry OR Produced Identification
PersonallyXnow� OR Produced Identification
Type of identification
Type of idle ification
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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