HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� 2
Date: 1.16.2020 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-Residential
PROPOSED IiVIPROVEMENT LOCATION �_
Address: 2708 S 35th Street
t
Property Tax ID#: 2420-311-0006-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Re-pipe hot and cold line throughout home
DETAILED DESCRIPTION-,OF WORK
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CQNSTRUCTION lNFORMATIQN
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 Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost.of Construction:$ 1100 Utilities: _Sewer _Septic Building Height:
aWNERf LESSEN :: CONTRACTOR,:.
Name Christine Weeks Namg:JOSEPH DURAN
Address:2708 S.35th St Company-First Choice Plumbing Solutions
City, FORT PIERCE State: _ Address:1687 SW MACEDO BLVD
Zip Code: 34981 Fax: City: PORT SAINT LUCIE State:FL
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No 772-879-1414
411 in fee simple Title Holder on next page(if different E-Mail firstchoiceplumbingsolutions@gmail.com
from the Owner listed above) 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.
SUPPLEME, AL trAI�I�TRUC?ION LkEN LA1�1/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 Count�yy 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 withAhe 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, UR. RE TO RECORD A NOTICE OF COMMENCEMENT A .711
ULT.MI YOUR PAYING
TWICE FOR'IMPROY S TO YOUR PROPERTY. A NOTICE OF COMMENCEM BE RECORDED AND
POSTED ON THE JOBS 8 FIRST INSPECTION. IF YOU INTEND TOO NANCING, CONSULT
lhlTlll YOUR LENDER OR ORNEY BEFORE RECORDING YOUR NO OF COMM EM
Signature of Owner/ ee/Co ractor as A ent for Owner Signature ofLhra,t tense Holder
STATE OF FLO IDA STATE OFDA
COUNTY OF •k_3 Q3 COUNTYO "
The forgoing inst_ ent s acknowledged before me The forgoing instrument was ackn wiedged before me.
-this i day o e�v�c.�'� 20-5�by this E: day of_7S7Z--_yN Ac" 20--2!Ohy
Name of person making statement. Name of person,making statement.
Personally Known t1- OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro uced Produced
�g i ti R A_AN � L 1/ti
( ignature of N �i r� a) (Signature oOCE
IJ 6 —
STATE OF FLO 'STATE OF FLORID
Corrlmisslon N al) Commission Seal)
G185814 G185814
FROE 1�% Expires 2/14/2022 PF Expires 2/14/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
GOIINTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED .
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