HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 21, 2019 Permit Number:
COUNTY
F- :. Cl :R r r.
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: 9407 S. Ocean Drive
Property Tax ID #: 3535-334-0003-020-5
Site Plan Name:
Building Permit Application
Commercial Residential xxx
VemLlrel
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 38 GALLON ELECTRIC LOW BOY WATER HEATER FROM INTERIOR OF HOME
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply: A
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
— Electric ��Iumbing —Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name John Morris
Name: JOSEPH DURAN
Address: 9407 S. Ocean Dr Apt# 1-13
Company: First Choice Plumbing Solutions
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.
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 Holder 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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, 1 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 OWN . YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP EMENTS TO YOUR PROPERTY. A NOTICE OF CO CEMENT MUST BE RECORDED AND
POSTED ON THE J01a SFEELE43EFUM THE FIRST INSPECTION. IF YOU INTE -O OBTAIN FINANCING, CONSULT
WITH YOUR LEND AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF MST."
Signature of Okner/\-t-S e/Contract] r as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Signatur(of
STATE O►RIDA t
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Qc vY,Y c , 20 l by this 4� day of C�by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Signature of Notary Public- Stag of Flcllrida J
Ariana Venevano
t
ommiss NOTARY PUBLIC (Seal)
-. RIDA,
Comm# GG185914
!:1 Expires 2/ 4/2022
REVIEWS I FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally•Known OR Produced Identification
Type of identification
re of
Commission N
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
NOTARY PUBLIC
STATE OF FLOR(5gal)
Comm# GG185914
SEA TURTLE I MANGROVE
REVIEW REVIEW