HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1.20.2020
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Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential XXX
PERMIT TYPE: Plumbing--- Tankless Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 88 Nettles Blvd
Property Tax ID #: 4502-501-0274-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install Tempra 12B Electric Tankless water heater
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ 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:
OWNERAESSEE:
CONTRACTOR:
Name Betty Howard
Name. JOSEPH DURAN
Address: 88 Nettles Blvd
Company: First Choice Plumbing Solutions
City: Jense Beach State: _
Zip Code: 34957 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,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: Y �NTS
R ILURE TO RECORD A NOTICE OF COMMENCEMENT A RESULT IN YOUR PAYING
TWICE FOR IMPROVE TO YOUR PROPERTY. A NOTICE OF COMMENCEME T MUST BE RECORDED AND
POSTED ON THE JOB S E BE FIRST INSPECTION. IF YOU INTEND TO O AIN FINANCING, CONSULT
WITH YOUR LENDER OR TfORNIEY BEFORE RECORDING YOUR NOTICE OF COMME EMENT."
Signature of Owner/ see/Co ractor as A ent for Owner
Signature of Cdntract cens e Holder
STATE OF FLO IDA
STATE OF ORIDA
COUNTY OF
COUNTY OF
The far Ding instr ent s acknowledged before me
The forgoing in3tru_ment was ackn wledged before me
this T day of` e ���r 20�L by
this 2 0 day of �� ��te�� 20 JCby
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
Pro uced
Produced
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-STATE OF FLORID
Commission (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1