HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
12/26/19
Date: Permit Number: /51Q
Building Permit Application s" 6
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 x
PERMIT TYPE:Plumbing
PROPOSED I M PROVE M ENT,LOCATION':
Address: 6108 Tangelo Dr Fort Pierce, FL 34982
Property Tax ID#: 3402-610-0405-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION.OF WORK:-
Installing approx. 40' of 3/4" PVC; waterline from meter to home
CONSTRUCTION'INFORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical — S 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: $ 795 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE.'-
CONTRACTOR:
Name Misan Rome Loan & Uapital LLU Name:Kevin Ig In
632 SE Starflower Ave --Kevin Ig In Plumbing
Address: Company:-
City: Port St. Lucie State: EL Address: 1113 Eiaster Ave.
Zip Code: 34983 Fax: City: Fort Pierce State: FE--
Phony No.772-370-64-24 -7-34950--
hon Zip Co-de: Fax:
E-Mail: Phone No 772-332-7b2b
Fill in fee simple Title Holder on next page if different E-Mail kevinbiglinplumoIng(c-ogmaii.com
UFL;1430394
from the Owner listed above) State or County License
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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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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN AT3jORNEY BEFORE RECORDING YOUR NOTICE OF-COMMENCEMENT."
Signature of Owner/Lessee/Co tr ctor as Agent for Owner Signature of Contractor/Lic&e Holder
STATE OF FLgpIpA . STATE OF FLOIDA .
-COUNTY OF u ie COUNTY OF Lucie
The f Ing inst ment was acknowledged before me The f r ing Inst ment was acknowledged before me
this day of �eCember 20/7 by this day of December 2011 by
Kevin Biglin Kevin Biglin
Name of person making statement. Name of person making statement.
Personally Known X O.R.Produced-Wentif[catimn -Personally-Known. X OR-Produced-Identification.
Type of Identification Type of Identification
Produced L, Produced
(Signature of Notary Public-SiUte of Florida) (Signature of Notary Public-St
ME ISSAS.80ECKEL
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COUNTER REVIEW oREVIEW REVIEW REVIEW REVIEW
DATECD
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RECEIVED _41o
DATE
COMPLETED
ev.2/7/19