HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/9/19 Permit Number:
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential X
Address: 3200 Twin Lakes Ter 201, Fort Pierce, FL 34951
Property Tax ID #: 1327-704-0079-000-2
Site Plan Name:
Project Name:
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: �
install 40 gallon electric water heater in foyer closet
CONSTRUCTION INF'ORM;4TION:
Additional work to be performed under this permit — check all that apply:
,Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 750.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cathy Hughes
Name:Joseph F Tully
Address: 9 Wing St
Company: Genesis Plumbing Services Inc
City: Lake Grove State: !
Zip Code: 11755 Fax:
Phone No. (772) 353-2810
Address: 1532 SE Village Green Dr Unit B
City: Poret St Lucie State: FL
Zip Code: 34952 Fax: 772-335-2680
Phone No 772-337-3682
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail genesisplumbingoffice@gmail.cam
State or County License CFC1429103
It 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:
IGNERANGINEER: — Not Applicable
Name: _
Address:
City: _
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City: _
Zip: Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_m___
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit_
Phone:
Not Applicable
State:
Not Applicable
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 your Notice of Commencement.
Signature of own erA --e see/Contractor as Agent for owner ignature of Contractor/Licenser " elder
STATE OF FLORIDA, STATE OF FLORIDA
COUNTY OF r s '. COUNTY OF
The Mginstrument was, acknowledged before me
this Mpg
of �%- ;:i 20 ( by
(Name of person acknowledging)
[Signature of Notary Public- State of Florida
Personal) Known
y eiup�ry3 Pr�BOWN k_Al Z
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Type of Identificati ii r Commission # GG 97150
Nq Pta y commission x i
4'` Apr! 2d 2021
Commission No. ••,„'o"M1�.
Revised 07/15/201.4
The focgoi g instrument was acknowledged efore me
this C� ay of �' ? 20 by
(Name of person acknowledging)
(Signature of Notary Publio- State of Florida j
Personal! ","; y Known ,�dlt Pr+al90leJ-ANiEdi423ifZ
Type of Identificati # o d commission # GG 97150
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My commission Expires
Commission No. ;qM1Pprl! 021
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