HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/5/19
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RE
Wim
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 Number:
Building Permit Application
PERMITTYPE: WATER HEATER
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential YES
Address: 9322 WENTWORTH LANE PORT ST. LUCIE FL, 34987
Property Tax ID #: 3327- 801- 0068-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Installed electric 40 gallon water heater
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: _
Cost of Construction: $ 749.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LANCE WOLF
Name: ALEC MACLAUGHIN
Address: 9322 WENTWORTH LANE
Company: JOE HILLMAN PLUMBERS
City: PORT ST. LUCIE State: _
Zip Code: 34987 Fax:
Phone No. 908-803-8025
Address: 2280 SW 70TH AVE STE 1
City: DAVIE State: FL
Zip Code: 33317 Fax: 954-577-2513
Phone No 954-577-9445
E-Mail: LWOLF119@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail CS@JOEHILLMANPLUMBERS.COM
State or County License CFC1427871
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:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
11L I � �e / 1(
AL L -_.Z /. e
-
Signature of Owner/ Lessee/Contracto s Agent for Owner
Signature of Contractor/License oldeff
STATE STATE OF FLORIDA "
STATE OF FLORIDA
COUNTY OF � i OLt-Y.7 a(
COUNTY OF 131r(^Ct
The f rgoing instr ment ' as acknowledged -before me
this day of r'(?(-'i"1 J%'' 20 J by
The f rgoing instrument was acknowledge before me
this day of Ittll'I (!G 20J 1 by
Name of pedson making stateme.t.
Name of pe son making statem nt.
Personally Known— OR Produced Identification
Personally Known ,-Y' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
=oAP'Y Ne Notary Public State of Florida
• Betsy Jeffrey
u.,RY au
I. Notary Public State of Florida
of Ny Ccmmission FF 946647
o` `f Expires �
t°
• Betsy Jeffrey
M Commiaei
(Signature o ,
(Sign ure ITot �b1k'2 9f@ of Florida
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z/7/19