HomeMy WebLinkAbout9144 Short Chip CircleAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
- `J
a
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 XX
PERMIT TYPE: Water heater
PROPOSED IMPROVEMENT LOCATION:
Address: 9144 Short Chip CirclePort St. Lucie, FL 34986
Property Tax ID #:
Site Plan Name:
Project Name: _
DETAILED DESCRIPTION OF WORK:
Like for Like install 50 gallon electric water heater in garage
Lot No.
Block No.
CONSTRUCTION INFORMATION:
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: $ 800.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameBruce Webber
Name: doe Duran
Address:9144 Short Chip Circle
Company: First Choice Plumbing Solutions
City: port St. Lucie, State:
Zip Code: 34986 Fax:
Phone No.
Address:1687 SW South Macedo Blvd
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone No772-879-1414
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailfirstchoiceplumbingsolutions@gmail.com
State or County License CFC1 427369
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:
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 COMMENCENEN MAY RESULT IN YOUR PAYING
TWICE FOR IMP MENT5 TO YOUR PROPERTY. A NOTICE OF CO CE T MU' RECORDED AND
POSTED ON THE S1TE ORE THE FIRST INSPECTION. IF YOU ND TO 'STAIN FINAL, CONSULT
WITH YOUR LE OIR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF CON NCEMENT."
e e/Con radar as Agent for Owner
SignaturOFLORI
Signatu a of Contra or/Ls se Holde
STATE
STATE F FLORID
COUNT
COUNTY
The forgoing instrument was acknowledged before me
The forgoing in�tr ment was acknowiedged �fore me
this day of Z 1 20-1 O by
this _ day of Y 20 Z� y
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
Prodced
Prod ed
Signature of Nota t L C
(Signature of N 0 �u Ij�i iiWjda j
x STATE OF O IDA
Commission No.
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NOTARY PUBLIC
Commission F FLORA eai)
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REVIEWS
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PLANS
W. Eyp
VEGETATION
Fos 411141;04
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19