HomeMy WebLinkAbout427 Nettles BlvdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 --Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 427 Nettles Blvd
9
Property Tax ID #: 4502.501,0613.000.1
Site Plan Name:
Project Name:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
LIKE FOR LIKE, REMOVE AND INSTALL NEW 30 GALLON ELECTRIC WATER HEATER FROM INTERIOR OF 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
Total Sq. Ft of Construction:
Cost of Construction: $ 800.
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Ryan Daly
Name:JOSEPH DURAN
Address: 875 SE Franklin GTWY Apt#1631
Company: First Choice Plumbing Solutions
City: Marietta State: _
Zip Code: 30067 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 frstchoiceplumbingsolutions@gmaii.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:
City: State:
Zip: Phone
Address:
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 COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR PWRIOVEMENTS TO YOUR PROPERTY. A NOTICE OF COM NCEMEN MUST BE RECORDED AND
POSTED ON THE .IOB_,SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR DER'OR AN ATTORNEY BEFORE. RECORDING YOUR NOTICE ENCEMENT."
Signature of OW er/ Les Contractor as Agent for Owner
Signature of ttractc icen a Holder
STATE OF FLO IDA
IDA
STATE OFOiL�d
COUNTY OF rS� - L.,'`,�, �_�
COUNTY `�_jk
The forgoing instrument was acknowledged before me
The fo�g�oing instrument was acknowledged before me
this day of �e 20 a- -by
this { day of 20 51-Qby
Name of person making statement.
Name of person making statement.
Personally Known D OR Produced Identification
Personally•Known OR Produced identification
Type of Identification ;
Type of identification
Produced
Produced
1
( J
Ariana Veneziano
(Signature LKfA!ff'6i orida
{Signature of �ta i a )
0 --STATE OF FLORIDA
UCommissio
=Comm# GG185914
V,,TNOTAR
TE. QF FLQRIl3A,(Seal) Commission SealF1
Expires2114/2022
1$59i4ires
2/14/2022
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Rev. 2177