HomeMy WebLinkAbout81 Spanish Way -- PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12.12.19 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT TYPE: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 81 Spanish Way
Property Tax ID #: 341450117010009 Lot No.
Site Plan Name: Block No.
Project Name: Service Line Install
DETAILED DESCRIPTION OF WORK:
Install 314 PVC line from Meter to Home
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:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Edward Ong
Name: JOSEPH DURAN
Address: 81 Spanish Way
Company: First Choice Plumbing Solutions
City: Port St. Lucie State: _
Zip Code: Fax:
Phone No.
Address: 1687 SW MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-879-1414
E-Mail:
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E-Mail firstchoiceplumbingsolutions@gmail.com
State or County License CFC1427369
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:
Add ress:
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:
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 COMMENCEMEN MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVE S TO YOUR PROPERTY. A NOTICE OF COMMENC NT MUST BE RECORDED AND
POSTED ON THE JOB ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND T OBTAIN FINANCING, CONSULT
WITH YOUR UNDER OR N AT�IBAII�BEFORE RECORDING YOUR N�TICE OF CO ENCEM_ E_NT
Signature of O er/ Les a gent for Owner
Signature o ontra /License Holder
Te/Contractor
STATE OF LORIDA
STATE OF ID '
COUNTY O:,
COUNTY OF
The fp oing instr Ment was acknowledged before me
}
The forgoing inAr me`nt was acknowledgebefore me
M
this day of 't v��",y , 20_� by
this day of , 3 ;vv\F �` 20 by
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
(Signature of Notary Publi - State of Florida }
(Signature of !Votary Public- 3tate of Florida ]
tP Ariana Veneziano
Ariana Venezieno
Commission No. N4TAR1(#LIC
Commissio B(Seat)
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0 OF FLORIDA
Carnm#
STATE OF FLORIDA
REVIEWS
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SUPERVISOR
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VEGETATI I�
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MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19