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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/26/19 Permit Number:
4
Building Permit Application 96 o
Planning and Development Services
L
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 IMPROVEMENT,LOCATION: ,
Address: 7605 Miramar Ave Fort Pierce, FL 34951
Property Tax ID#: 1301-601-0075-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacing old water heater with new 40 gal tall a ectnc water eater
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical /Ga Tank Gas Piping Shutters Windows/Doors
Electric _ mbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 350 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE -CONTRACTOR:
Name Fhogh Enterprises, LLG Name:Kevin 13iglin
Address: btarflower Ave Company:Kevin Biglin Plumbing
Po ucie FasterAve.
City: State:LL Address:
Zip Code: 34983 Fax: City: Fort Pierce State:
772-370-6424
- 34950
Phone No. Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page (if different E-Mail kevin Ig inp Um Ing gmai .com
from the Owner listed above) State or County License L;FL;l 430394
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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATXORNEY BEFORE RECORDING Y R NOTICE OF EgMENCErftEENT."
1 e
Signature of Owner/Lessee/Co ractor as Agent for Owner Signature of Contractor/Licens older
STATE OF FL9PIPA . STATE OF FL9f LPA .
COUNTY OF JJII ucie COUNTY OF ucie
The fRrgoIng Instalment was acknowledged before me The f ing instalment was acknowledged before me
this Lbs day of ft cemilier 20� by this day of uecemoer 20' by
Kevin Biglin Kevin Biglin
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced lb L Produced
(Signature of Notary Publi t to of Florida) (Signature of Notary Public-Stat
MELISSA S.BOECKEL
Commission No.
(Seal) = � Commission No.FFg74�? Orgssion#FF 979475
Expires April Exp pri 6,2020
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