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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 j I PERMIT APPLICATION FOR: Water heater replacement/change-out PROPOSED IMPROVEMENT LOCATION: Address: 7300 GULLOTTI PL Property Tax ID 4: 3414-501-1012-250-9 Lot No. Site Plan Name: ST LUCIE GARDENS 24 36 40 BLK 2 S 165 FT OF N 825 FT OF LOT 12 (1.25 AC) (MAP 34/24N) (OR 3860-2813) Block No. Project Name: Water heater change -out DETAILED DESCRIPTION OF WORK: REPLACEMENT OF 50 GALL ELECTRIC WATER HEATER LOCATED IN THE GARAGE New Electrical Meter Second Electrical Meter —I CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ �Iumbing) _ Sprinklers Generator Roof Pitch I Total Sq. Ft of Construction: Sq. Ft. of First Floor: I Cost of Construction: $ 970.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name JODI MAZZOCCA Name: KLIMENT STEFANOV Address: 7300 GULLOTTI PL Company: KINTEX PLUMBING, LLC City: Port Saint Lucie, FL State: _ Zip Code: 34952 Fax: Phone No. 772-631-8495 Address: 2880 W OAKLAND PARK BLVD, SUITE 200 City: OAKLAND PARK State: FL Zip Code: 33311 Fax: Phone No 954-343-6554, 954-995-9092 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail State or County License CFC1429639 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC 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: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your propert . Notice of Commencement must be recorded in t e public records of St. Lucie ounty and posted on t j bsite before the first inspection. If you intend to ain financing, consul` wit nder or an attorney bef commencin work or ecordin our Notice of C m- encement. Signa ure of Owner/ Lessee/ContractorYas Agent for Owner STATE OF FLORIDA COUNTY OF rovja_) SVrn to (or affirmed) and subscribed before me of V I Presor Online Notarization thi Pa of 12020 by 7-6 Name of person making statement. Personally Known OR Produced Identification V Type of Iden fication Produced U (Signat e f Notary Publi& Stat MIRELLA MONTES //��(I 7 �1© wtio Meyd OMMISSION #GG33681 Commission No -6 PIRES:MAY20,2023 Bonded through 1 st State Insuran REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED ev. 5 nature of Contractor/License HoYer STATE OF FLORIDAIT, tr"JaWj-;) COUNTY OF Sw, orJi to (or affirmed) and subscribed before me of \/ 1 al Presence or Online Notarization thi` day of 2020 by Name of person making statement. Personally Known _ Type of Identification Produc,Ad/7 ��- (Signature of mission N OR Produced Identification C�e_s L C ublic- State ) M8IELLA MfMi`ES I W C.OMNpSS10d! S e 4 J(QBonde d tfeough 1st State ROEVIEW NING SUPERVISREVIEWOR REVI W VREV EWON �SEA EVEWLE MANGROVE EW