HomeMy WebLinkAboutBuilding Permit ApplicationPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _.-
Not Applicable
Name:
Address: State:
City:
Zip: � Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: r� Phone:
CONTRACTOR AFFIDVIT: Apby made to obtain a permit to do the work and installation as indited
ca
OWNER plication is herethe issuance opermit,
.
I certify that no work or installation has commenced prior to f a per
permit- holder to build the subject oh bit such
St. Lucie County makes no representation that is granting a permit will autor the
dpcovenants that may restrict or p
which is in conflict with any applicable Home Owners Association rules,bylaws
structure. Please consult with your Home Owners Association and review your deed will, on all respects,performthe work apply.h may
In consideration of the granting of this requested permit, I do hereby agree tha
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from rgooms and accessory uses to another non (residential use
accessory structures, swimming pools, fences, walls, signs, screen
"WARNING TO OWNER: YOUR FAILURE U RECORD A NOTICE IC OF COMMENCEMENT
OMMEM�EME TTRESULT IN YOUR PAYING
MUST BE RECORDED AND
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF C TO
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND
COMMENCNMENTNCING, CONSULT
WITH YOUR LEND R OR AN ATTO EFORE RECORDING YOU n
Signature of Of vner
STATE OF FLORIDA
COUNTY OFINDIAN RIVER
as Agent for Owner
The forgoing instrument was acknowledged before me
this 21 day of NOVEMBER 20 by
LUCIEN R00
Name of person making statement.
Personally Known X
OR Produced Identification
i
Type of identificaZv
Produced
(Signature of Not
Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Co tr for/License Holder
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
this 21 day of NOVEMBER 20, by
LUCIEN ROO
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification VANESSA NICFALL
Produced State of Florida
Public —
Commission # GG 170744
My Camm. Exams Jai' 2C. 2022
A IA A n it, 111 r n 11 ' :>F , ;••' .�.� w,_G-a ti:,-, .uW
(Signature of Notary e—of Florida )
Commission No. _ (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
Date: 11 /21 /2019
Permit Number:
tlNTtlF
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462.1578 Commercial , Residential
PERMITTYPE:p�umbing I
EMENT LOCATION:_.
Address: 7401 Arthurs Rd. Ft. Pierce Florida 34951
Property Tax ID #- 130160200660005 .. Lot No.22
Site Plan Name:. Block No. 13
Project Name: Arthurs Rd.
DETAILED DESCRIPTION OF.WORK:
replacement of existing electric water heater with new. 4 l o n
Additional work to be performed under this permit —check all that apply:
¢PS ':%.a .- ...
_Mechanical
_ Gas Tank
r, Gas Piping
,_,_, Shutters
Windows/Doors
Electric
Plumbing
Sprinklers
_ Generator
Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1000.00 Utilities: —Sewer _Septic . Building Height:
OWNER LE ; a7," },F� y"' " ; C I�TRA TOR• � t °
Name y W r ffT- CHa f -�O 1't.l r Name:Lucien Rizio
Address: -74 Company:IRC Leak Detectgon and Plumbing Inc.
City: -EL %filer t- State: Address:736 Commerce Center Drive Suite F
Zip Code.-. .3Z 7S� Fax. City: Sebastian State: Fl
Phone No. _2 7 2 2� 5 � q � Zip Code: 329�a Fax:
__.
E-Mail: Phone N07726963747
Fill in fee simple Title Holder on next page if different E.Mail696drip@att.net
from the Owner listed above) State or County Licensecfca20364
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.