HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C"nUI NTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE:Water heater change out
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Dr Lot 749
Property Tax ID #: 4511-805-0150-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove old 40 gallon electric water heater and install new Rheem 40 gallon water heater in closet
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
_ Electric
— Gas Tank
X Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Gas Piping
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Lot No.749
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
NameJohn Roland
Address:964 Ryan Ct
City: Venice State -EL
Zip Code: 34293 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Lonnie Culbertson
Company:Jensen Beach Plumbing, Inc
❑A,irp«.1086 NE Industrial Blvd
City: Jensen Beach State: FL
Zip Cade:
34957 Fax: 772-225-6779
Phone No772-225-6600
G-Unil mariah@jensenbeachplumbing.com
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phon
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
— Not Applicable
tate:
Not Applicable
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.
5t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. with
w thpyourHome Owners Associatble Home Owners ion lon andrreviebylaws
y ur deed for any restrictions covenants that which may arestrict or pply. obit such
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 ATT NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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