HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` ' 2O, '2 Permit Number: ��l
RECEIVED
Building Permit A licatio
JAN 2 8 ?0210g pp
-
Planning and Development Services ST. Lucie Count , Permitting
Building and Code Regulation Division y
2300 Virginia Avenue, Fort Pierce Fl.34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Plumbing
PR§OPOSED IMPROVEMENT LOCATION;
_
Address: 118 Southeast Camino street Port st lucie fl 34952
Property Tax ID#: 3419-515-0259-000-6 Lot No.9
Site Plan Name: RIVER PARK-UNIT 3 BLK 30 LOT 9 (MAP34/22S) (OR 2023-828; 2284-1607 Block No. 30
Project Name: Parker
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DETAILEp DESCRIPTION O'F WORK
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Install 40 gal water heatere.�'r
CQNSTRUCI ION INFORMATION = f
Additional work to be performed under this permit–check all that apply:
_Mechanical Gas Tank _Gas Piping _Shutters _Windows/Doors
/
Electric y Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 587.48 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE} CONTRACTOR
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Name Denise Parker Name:Paul Cloutier
Address:118 Southeast Camino street Company:FPL Home Services
City: Port St Lucie State:_ Address:6001 Village Blvd
Zip Code: 34952 Fax: City: West Palm Beach State:FL
Phone No.7726073031 Zip Code: 33407 Fax:
E-Mail: Phone No5617475740
Fill in fee simple Title Holder on next page(if different E-Mail natalie.goodson@FPL.com
from the Owner listed above) State or County LicenseCFC1430331
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�INFORIVIATION
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 County makes no representation that is granting a permit will authorize the permit holler 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JO ITE EFORE THE FIRST INSPECTION. IF YOUJXTfND;TO OBTAIN FINANCING, CONSULT
WITH YOUR LE AT RNEY BEFORE RECORDING YO_VROT E ;COM NCEMENT."
Signature of 06n e_r/ essee on ctor as Agent for Owner Signatu of Contractor/License Holder
STATE OF FLORIDA f� /_ STATE OF FLORIDA e--,.
COUNTY OF '.G,`(NL V-�f�Cr� COUNTY OF 1A )t
The fgWing instr ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of C.`r� 20� by this day of `!1 f 20 � by
Name of person making statement. Name of person making statement.
Personally Known 0�1_ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of ntif- do
Produced Pr ed
(Signature of Nota y �>- ria (Signa of Notary ublic- a of ,fond .
o�.- t M �+Jl �SRATH ss ''F
Jotsry Public State of Florid
a, '= MY COMMIs$� N GG049347 - a(C Ey� LLA PAULINO tr
Commission No. Deal Commission No. � w rnmission GG 151455
Doff (RES November 21,2020 fCIO Q Expires 10 20''J
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
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