HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1.22.20
COUNTYy..
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 xxx
PERMIT TYPE: Plumbing -Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 7008 Bayard Rd
Property Tax lD #: 1301-612-0207-000-7
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 50 GALLON ELECTRIC WATER HEATER FROM Garage
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutter�e Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michelle Miles
Name: JOSEPH DURAN
Address: 7008 Bayard Rd
Company: First Choice Plumbing Solutions
City: FORT PIERCE State: _
lip Code.. 34951 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:
Add ress:
City:
Address:
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 EDC"O
ROYEMENTS TO YOUR PROPERTY_ A NOTICE OF COM NCEMENT MUST BE RECORDED AND
POSTED ONE JOB SITE BEFORE THE FIRST INSPECTION_ IF YOU INTND TO OBTAIN FINANCING, CONSULT
WITH YOUR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OE COMMENCEMENT."
Signature of
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this��ZL day of e 20 3-C by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification r.
Produced
�- i
Ariana Venezianc 14 i
(Signature o _LMIAR rida
o Q STATE OF FLORIDA
Commissio Comm# GG185914 (Sea])
s�Hce `�� . Expires 2/1412022
Signature of
Holder
STATE OF �LORIDA
COUNTY O ��k _.
The f oing instrument was acknowledged before me
this day of — ti •�L 20 --Qby
Name of person making statement.
Personal ly,Known OR Produced Identification
Type of Identification
Produced
NOTAR
(Signatu're o4/c
u ia�'.3ta L! i a ]
STATE OF FLORIDomSeal)
Commission mo 18591a Expires 2/14/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119