HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FdR APPLICATION TO BE ACCEPTED
Date; - 010 0/o'�/+ % Permit Nu ;Residentia
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Building Permit A,PPIG 2 9 2019
Planning and Development Services g Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 e County, FL
Phone: (772)462-1553 Fax.(772)462-1578 Commercial
PERMITTYPE: PLUMBING - REPLACE HWH
Address: 9650 S OCEAN DR UNIT 1101
Property Tax ID#: 4602-610-0101-000-4 Lot No.
Site Plan Name: PRINCESS OF HUTCHINSON ISLAND Block No.
Project Name:
REPLACE WATER HEATER-ELECTRIC 38 GAL
Additional work to be performed under this permit–check all that apply:
_Mechanical —Gas Tank Cas Piping _Shutters windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: goo_ _ Utilities: —Sewer `Septic Building Height:
NameCLARANCE BELLIVEAU Name.-ADAM J VANETTEN
Address:43 DURANT AVE Company:MASTERS PLUMBING INC OF MARTIN COUNTY
City: MAYNARD MASS State: Address:2551 SE CLAYTON ST
Zip Code: 01754 Fax' City: STUART State:FL
Phone No. Zip Code: 34997 Fax:
E-Mail: Phone No772-267-2366
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License27366
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC Is$7,500 or mare,a RECORDED Notice of Commencement is required.
M
DESIGNERJENGINEER: "Not Applicable MORTGAGE COMPANY: Not Applicable
Name.,_.
ame: Name:
r Address: Address:
City: State:_ City: State:
Zip: Phone Zip:_--�.�Phone
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: of Applicable
Name:_ Name:
Address: e 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
whlch 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 FAUST BE RECORIDED AND
POSTED OJf,,THE JOS SITE BEFORE THE FIRST INSPECTION. IF YO NTEND 0 STAIN FINANCING, CONSULT
WITH YOU LEN ER Olt AN ATTORNEY BEFORE RECORDING YOUR1,1111110TICIE O C EW."
Signature of OwneiEssee/ ntractor as Agent for Owner Signature ontractor/Lice se Holder
STATE-OF FLORIDA STATE OF FLORIDA
COUNTY OF /�a �-`1� ' COUNTY OF__, � -- ..--
The forgoing instrument was acknowledged,before me The forgoing rostrum nt was acknowledged before me
thisg- day of h t 20/I by thiso�`� day of ;20�p by
Name of person making statement. Name of person making statement.
L-1,
Personally KnownOR Produced identification Personally Known 1--'OR Produced Identification
Type of identification 7 pe of Identification
Produced Q:'a"... 7ERESABENNIC,AN oduced "�'A'•..� TEf2ESA8ENNl A
ir,£
^ AatoryPublic—State of Florid * Notary Public—State r riga
Commission#GG 167257 a + Commissior A GG 1 7 7
r.fyComm.Expirespec29.20 1 i °;''a Aly Comm,Sxpires D 2. p21
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Bonded BNagh Na 10 N 3 4n,
(Signature of Notary Public-Sta e o t ignature of Notary Public-State of Flor1 a
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.217119