HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • J � mPermit Number:mECEIVEM110
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Building Permit Application SEP 9 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 S . Lucie C u n ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Plumbing
P�ROM
SED I"M"PROVEMENT LOCATION: b
Address: 8332 MUIRFIELD WAY
Legal Description: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 39 (OR 3633-1399)
Property Tax ID#: 3328-802-0042-000-4 Lot No.39
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION OF,WORK:' o
REMOVE EXISTING 250K BTU LP HEATER & REPLACE WITH NEW GAS HEATER
PENTAIR PIN 460733 250K LP GAS HEATER
MORNINGSIDE POOLS LP GAS LICENSE SPECIALTY INSTALLER C CERT # 29627 LIC # 32783
COfN'STRU,CTIO`.N INFORMATION:
Additional work to be Derformed under t ispermit—Ehecl alll appy:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2200 Utilities:i Sewer Ll Septic Building Height:
0,WN3ER/'LESSEE: CONTRACTOR
° u
Name Adam&Linda Wnuk Name: Frank A DeTura
Address:8332 Muirfield Way Company: Morningside Pools
City: Port St Lucie State:FL Address: 1768 SE Port St Lucie Blvd
Zip Code: 34986 Fax: City: Port St Lucie State: FL
Phone No.215-588-6917 Zip Code: 34952 Fax: 772-337-2737
E-Mail:ajwnuk1 @gmail.com Phone No. 772-337-7151
Fill in fee simple Title Holder on next page(if different E-Mail: morningsidepoolsgbellsouth.net
from the Owner listed above) State or County License: CPC-1456784
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEiUIENALCONSTRUCTI,ON';,L°IEN LAW INFORaMATION �. xa ��` :.
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DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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.
Signature of Owner/Lessee/Co tractor as Agent-1for Agent-1oOwner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The for oing instr ment was cknowledged before me The for oing instrument was acknowledged before me
this 4 day of � fi-e-�� 2 r , 201°1 by this l day of 5 -�� 20 (Cf by
Name of person making statement Name of person making statement
Personally Known ti� OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced ` Produced
Signature of Notary Public-State of Florida
�)`� (Signature of Notary Public-State of Florida)
Commission No.(rG/67 7g`( 4PI- Q-1 # � ommission No.Cre-lh7L/� BR@IDJIII US
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17