HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/19 Permit Number:
Eft I
s
- DEC 10 2019
Building Permit Applica ion
Planning and Development Services Permitting D e iia rtm e n
Building and Code Regulation Division
St
Lucie COU it °Y�r F L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Y
PERMIT TYPE:GAS WATER HEATER
PROPOSED-'IMPROVEM ENT;LOCATION
Address: 2807 LANGSTON DR.
Property Tax ID#: 1432-806-0058-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION,OF WORK.
CHANGE OUT 40 GALLON GAS WATER HEATER.
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: Sq. Ft. of First Floor:
Cost of Construction:$ 500.00 Utilities: —Sewer —Septic Building Height:
,OWNER/LESSEE: CONTRACTOR:,:`
Name ROOSEVELT ZANDERS Name:CHRIS JOHNSON
Address:2807 LANGSTON DR. Company:CNJ PLUMBING LLC
City: FT. PIERCE State:_ Address:1701 S. 37TH ST.
Zip Code: 34946 Fax: City: FT. PIERCE State:FL
Phone No.772-519-6153 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page(if different E-Mail CHRISJOHNSON@FPUA.COM
from the Owner listed above) State or County License 30950
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 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 SITE BEFOE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN CING, CONSULT
WITH YOUR L DER OR ANATTORNEY BEFORE RECORDING YOUR NOTICEF COMMENCEM "
gnature of Owner/Less e ontractor as Agent for Owner Signature of Contra cto r/Licen sefiolder
STATE OF FLORIDA&4 STATE OF FLORIDA
COUNTY OF COUNTY OF
The frying instru ent was acknowledg�efore me The f�rboing instr ent was acknowledg efore me
thisday of £� 20 K?-by this day of 20 by
CJ1L �-S fiY-)ADr) CJSdelr )�s 0 �►-��Sion
Name of person making statement. Name of person making statement.
Personally Known / OR Produced Identification Personally Known / OR Produced Identification
Type of Identification Type of Identification
Produced Produced
19r-
(Signature of Notaryublic-State of Florida) V (Signature of Nota ublic-State of Florida)
Commission N ;tPs!P� •. AUDREY B.H �P EY r
# ;,__M E6MMISSIO it 300817 Commissi N yP�o., annREYR.HUMPHR�eal)
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V as
wa.=• ' :o_ EXPIRES:March 6,2023 P,= MY COMMISSION t#GG 300817
odFL°.'
Bondei Thru Notary-uo;c U I
t 'FOF F�, Bonded Thu Notary Public Underwrit irs
REVIEWS I G SUPERVISOR PLANS -- 'ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 2/7/19