HomeMy WebLinkAboutBuilding PermitAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc.51812020 Permit Number:
Building Permit Application
Planning ond Development Services
Building ond Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential
PERMIT IYPE:ReplaCe a broken water line
PROPOSED IM PROVEM ENT LOCATION :
Address: 124 Se Serenata Ct.
Property Tax lD #:341 9-540-01 50-000-0 Lot No.13
Site plan Name: River Park Unit 5 glock No. 47
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacing approximatly 60 feet of galvanized 314" broken water line with new Uponor 3l4" from the meter to the house.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_ Shutters
Generator
_Mechanical
_ Electric
_ Gas Tank
/ elumbing
_ Gas Piping
_ Sprinklers
_ Windows/Doors
Roof Pitch
Total Sq. Ft of Construction: 1,717 Sq. Ft. of First Floor:
Cost of Constructlon: $ 300 Utilities: Sewer Septic Building Height:
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
NameGuy Edwards
Add ress: 1 094 Freeport Rd .
City: Kitanning state: f6
ZiP Code: 16201 Fax:
Phone ruo. Ut2-1\nP- tO9trO
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Benjamin Jimenez
Company:Benjamin Drew's Plumbing & Drain
Address:41 17 Bandy Blvd.
City: Fort Pierce State:FL
ZiP Code: 34981 Fax:
phone Ns772-877-2962
E-Ma i I ben@benjamindrewsplumbing.com
State or County 1;69n5gCFC1429456
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: , Not Applicable
Name:
Address:
City:
zip:
State:
Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
zip:
State:
Phone
FEE SIMPLE TITTE HOLDER: Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: _Not Applicable
Name
SSAddre
City:
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 Countv makes no reoresentation that is srantins a oermit will authorize the oermit holder to build the subiect structure
which is in conflict with anv a'pplicable Home Owfiers Asiociation rules. bvlaws or and covenants that mav restrict dr prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions rilhich may afply.
ln consideration of the granting of this requested permit, ldo hereby agree that lwill, 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 COMI}IENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IiIPROYEiIENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEiIENT MUST BE RECORDED AND
POSTED Oil THE JOB SITE BEFORE THE FTRST INSPECTIO|I. rF YOU ITTEND TO OBTATN F|NANCING, CO|{SUIT
WITH YOUR LENDER OR Ail ATTORNEY BEFORE RECORDTNG YOUR NOTICE OF COMiIENCEiIENT.,,
ev.
Signature of Owner/ Les
STATE OF FLORIDA
COUNTY Qf saintLucre
6ntractor as Agent for Owner
The forgoing instrument was acknowledged before me
this Bth day of M"v
Name of person making statement.
Personally Known OR Produced ldentification
Type of ldentification
Prod uced
(Signature of Noiary Public-
Commission No.
Signature of
STATE OF FLORIDA
COUNTY Qf saintLucre
The forgoing instrument was acknowledged before me
this sth day of Naav ,2O? O by
Name of person making statement.
Personally Known x OR Produced ldentification
Type of ldentification
Prod uced
Name of person making
TatlanaaCf, o. MyCommrrsronGGt+*E^d6- E;pircs ou25r2o2o
REVIEWS FRONT
COUNTER
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
DATE
COMPLETED