HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 1,24.2020 Permit Number:
SWRIM
CnUi hiT
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential XXX
PERMIT TYPE: Plumbing -Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 110 SE Celestia Ct
Property Tax ID #: 3419-540-0118-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 GALLON ELECTRIC WATER HEATER IN GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply: ,
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joshua Davidson
Narne: JOSEPH DURAN
Address: 110 SE Celestia
Company: First Choice Plumbing Solutions
City: Port St_ Lucie State: _
Zip Code: 34983 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@gmait.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 UR ILURE TO RECORD A NOTICE Of COMMENCEMENT A RESULT IN YOUR PAYING
TWICE FOR IMPROVE NTS TO YOUR PROPERTY, A NOTICE OF COMME1110EME 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 A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMME EMENT."
Signature of Owner/see/Co ractor as ent for Owner
Signature of ntract tense Holder
STATE OF FLO IDA �,
STATE OF ORIDA
-0
COUNTY OF L
COUNTY OF �'
The for Ding instr ent s acknowledged before me
The for Ding inftrument was ackn wledged before me
�`
this day of . e �� r 200 by
this 2 day of ��"�Lc�r �. 20 JC_)by
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
Pr aced
Produced
( ignature of i U r� a)
(Signature of b� lri�JE9 rrida j, "
STATE OR FLOI DAI
Commission N a j
-STATE OF FLORID
Commission 0165914�Seal)
O1sS�+�'�
sr'tCE l Expires 2/14/2022
NCE 9�� Expires 2/14/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119