HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:\\• ah "1 Permit Number: `
RECEIVE-D
-- - Building Permit Applicati n
NOV 2 5 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Water Heater
PROPOSED'IMPROVEMENT LOCATION:, ,
Address: 6905 BELLEAIR AVE
Property Tax ID#. 1301-611-0144-000-4 Lot No.
Site Plan Name: Chagani Block No.
Project Name:
DETAILED'DESCRIPTION OF WORK:. '
Water Heater Replaement 00 c
CONSTRUCTION INFORMATION:
Additional work to be performed 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: 11 Of Sq. Ft.of First Floor: 1104
Cost of Construction:$ TBD //00'' Utilities: —Sewer _Septic Building Height:
-OWN ERAESSEE.' ,CONTRACTOR:
Name Feroz Chagani Name:
Address:1989 S US Highway 1 Company:
City: Port Saint Lucie State:_ Address:
Zip Code: 34950 Fax: City: State:
Phone No.407-490-5785 Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
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.
SOP,LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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,wails,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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Mew
Signature ter/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA� . 1 1 STATE OF FLORIDA
COUNTY OF A1C F. COUNTY OF
The,fgFing instru e't wa acknowledgefore me The forgoing instrument was acknowledged before me
thi�_day of 201_1by this day of 20_ by
loZ. �n11cR i9 t
Name of person making statem�^ Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IdentificatType of Identification
Produced Produced
(Signature of Notary Pub ic- (Slanature of Notary Public-State of Florida)
`�SpPY PU�� KAREN S. NIELSE
res
Commission No. �a° �_(�tm�of Florida-Notary i ission No. (Seal)
=* Commission # GG 20 484
My Commission Ex
June 12, 2022
REVIEWS FRONT Z S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19