HomeMy WebLinkAbout7005 Santa Clara BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12.23.19
S iI- ►--
A
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 TYPE: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7005 SANTA CLARA BLVD
Property Tax ID #: 1301.611.0049-000.8
Site Plan Name:
Project Name: WH-WATER HEATER
Permit Number.
Building Permit Application
Commercial Residential xxx
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 GALLON ELECTRIC WATER HEATER LOCATED EXTERIOR CLOSET ATTACHED TO HOME
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply: ,
Mechanical T Gas Tank —Gas Piping _ Shutters` _ Windows/Doors
Electric
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Plumbing _ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOSEPH VISCIDO
Name: JOSEPH DURAN
Address: 7005 SANTA CLARA BLVD
Company: First Choice Plumbing Solutions
City: FORT PIERCE State: _
Zip Code: 34951 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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER' UR FAILURE TO RECORD A NOTICE OF COMMENCE T MAY RESULT IN YOUR PAYING
TWICE FOR IMPROY �NTS TO YOUR PROPERTY. A NOTICE OF COMM
EN MEN T BE RECORDED AND
POSTED ON THE JOB ITE E THE FIRST INSPECTION. IF YOU INTEND OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O N ATTORNEY BEFORE RECORDING YOUR NQTIC F C MENCEMENT."
Fl (y
Signature of O ner/ ssee/Co r as Agent far Owner
Signature of Con H l act License der
STATE OF FLO
STATE OF O IDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
'00+
thisd��J day of {, )t " c. Y \,V. Ik 20 n by
this day of c N�L 20 l 2 by
Name of person making statement.
Name of person making statement.
Personally Known vN7,--- OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produce
f8ignature of Notary Public- State of Florida)
(Signature of Notrt rPublica(tat
aARY Ariana Veneziano
Commission No. NOptE �ORIDA
NOTARY PUBLIC e r��c
Commission N L F FLpRlp�al)
z Corcun#
�s �~ CO�T�M# GG185914
GG185914
ce i�
Expires 2114
022
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fires 2/ 14/21322
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19