HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f
Date: 1 - 019 .3 /, 1 Permit Number: 1 o— 1)R E C
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Building Permit Appli ation
OCT 3 1 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial a -'---
PERMITTYPE: PLUMBING
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Address: 9650 SOUTH OCEAN DRIVE UNIT 1905 JENSEN BEACH FL 34957
Property Tax ID#: 4502-610-0175-000-3 Lot No.
Site Plan Name: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1905(OR 495-2188:626-2567:1428-720) Block No.
Project Name: MADELINE ROMAN
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38 GALLON WATER HEATER EXACT CHANGE OUT C— C
CONSTRUCTION INfiOFiMATION '< .
Additional work to beP erformed under this permit—check all that apply:
:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric %Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1285 Utilities: —Sewer _Septic Building Height:
fJWNERLESSEE s COFNTRACT03R ° t
. R ,
Name MADELINE ROMAN Name:CRAIG CANTRELL
Address: 9650 SOUTH OCEAN DR UNIT 1905 Company:AMTEK AIR CONDITIONING, INC.
City: JENSEN BEACH State:_ Address:571 NW MERCANTILE PLACE B12
Zip Code: 34957 Fax: City: PORT ST LUCIE State. FL
Phone No.772-229-9663 Zip Code: 34986 Fax: 772-773-7070
E-Mail:N/A Phone N0772-237-5254
Fill in fee simple Title Holder on next page(if different E-Mail ADM IN@AMTEKAIR.COM
from the Owner listed above) State or County License CFC1429620
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.
SUPPLEMENTAL CONSTRUCTION LI"!EN LAW INFORMATION"""' 3
DESIGNER/ENGINEER: _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 JOB SIITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BFFORE RECORDING YOUR NOTICE OF COMMENCEMENT!
Signature of Q er/Lessee/Contractor as Age or ner Signature of C tractor/License Holder
STATE OF FLORIDA 'A , STATE OF FLORIDA
COUNTY OF 77 ✓lam(�.�� COUNTY OF STLUCIE
The foryging instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l "'dayof� U�2t' 20F by this 16TH day of OCTOBER 20_Lq by
Cy—a,,- 04m lav/ CRAIG CANTRELL
Name of person making statement. bb Name of person making statement.
J Personally Known —Z OR Produced Identification Personally Knovd%o OR Produced Identification
Type of Identification Type of Identification
Prod ced Produced
DI a4' .
(Signature of Notary Public-State of Flo ary Public-State of Flo
al
SHAR �I111/j SHA MILLER
Y PUB�i
Commission N '-:State of Flo ida-Notary Public �+ I�] eYP"B, State of Flo
Notary Pu
o` Commissi rl�Qf�E��C1rY9U V� ` l - Commission GG 2021,
O My Com ission Expires �9 ,?mac M Comms on Expire
Ari 01.2022 %.',`�,OFvI'm`�,.` yAnril
2022
„REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED
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