HomeMy WebLinkAboutBuilding Permit Application I
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/2019 Permit Number:
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Building Permit Application �Gc9oP <a,9
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Planning and DevelopmentServices
Building and Code Regulation Division °FL PAF
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X,
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PERMITTYPE:
Address: 5817 Spanish River Rd. Ft. Pierce, FL 34951
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Property Tax ID#: 1312-502-0124-000-7 PORTOFINO SHORES-PHASE TWO Lot No.300
Site Plan Name: DELP Block No.
Project Name: DELP
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DETAIm Dq I TIO @F WORK:
Remove the existing tub and replace with a jetted tub using the existing drain and plumbing lines.
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0.00, UCTION 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: 15 sq ftSq. Ft. of First Floor; 1766
Cost of Construction:$ 1050.00 approx Utilities: —Sewer Septic Building Height:
Cl NE R,I I 11MONifilR UR:
Name DELP Name:JOEL CASIMIRO
Address:5.817 Spanish River Rd. Company:ALLSTATE LUMBING SERVICES, INC.
City: Fort Pierce State:_ Address:540 E MINNEHAHAAVE
Zip Code: 34951 Fax: City: CLERMONT State:FL
Phone No.772-242-8954 Zip Code: 34711 Fax:
E-Mail: Phone No 352-874-4225
Fill in fee simple Title Holder on next page(if different E-Mail allstplumbing@yahoo.com
from the Owner listed above) State or County License CFC057323
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.
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DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address: y I
City: State: City: State: 'I
Zip: Phone Zip: Phone:
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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,l 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,IAND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature f Owner/Lessee/Contractor as Agent for Owner Signature o ontractor/License Holder
STATE OF FLORIDA STATE OF LORIDA
COUNTY OF, COUNTY OF 1-19 F_
The forgoing instrument was acknowledge before me The forgAiing instrument was acknowledged before me
this_ia_day of JVcEmAl_A 20_± by this 1 L?flay of af.EMe19, 204 by
al=: aim 1PO �1617L
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type ofd
Identification Type of Identification �
Produced Produced
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(Signature of ofary Pu c- ti9f2ifricM Public
State° (S nature o Notary P ic- at Orlfib*ry Putiie State of Florida
Q y Erin Lo r Da I
Commission No. I34 I g �� MY Con., GO t3ot :�� P? Y III.
aw ( }soa�otno2t Co mission No. (� 3 co =e/o1 o21i �,I 9a
REVIEWS FRONT. ZONING SUPERVISOR PLANS `VEGETATION SEA TURTLE MANGRO�I E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW11
DATE
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