HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6.9.20
Permit Number:
- J
•9 -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMITTYPE:Plumbing-Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 6815 Wadsworth Terrace
Property Tax ID #: 3415-705-0032-000-0
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE, REMOVE AND INSTALL NEW 40 GALLON ELECTRIC WATER HEATER FROM GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
,
_Mechanical ^ Gas Tank _ Cas Piping _ Shutters-�' z
_ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT BURKE
Name: JOSEPH DURAN
Address: 6815 Wadsworth Terrace
Company: First Choice Plumbing Solutions
Address: 1687 SW MACEDO BLVD
City: FORT PIERCE State: T
Zip Code: 34952 Fax:
Phone No. (561) 400-0465
E -Mail:
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-879-1414
E -Mail firstchoiceplumbingsolutions@grnail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 LAIN 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:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 fora 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 IMPRO MENTS TO YOUR PROPERTY. A NOTICE OF COMkWNCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Rev. 217119
Signature0Owner/ Le a/Contra or as Agent for Owner
Signat re of Co' tra r/Licen Holder
STATE OF FLORIDA
STATE FL RIDA
COUNTY OF"��1--_--
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged me
this �_ day of �,. z •_ 200-C�by
bore
this � day of 20 \b
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
Prockiced
Produced
(Signature of Noo�t ,r�Publ�rrAtptk9 ilSIJda)
(SigWLure of Notarv.�f c-
n NDTRRY PUBLIC
Commission FLORORal)
NOTARY PUBLIC
Commission No. a` �'--STATE OF FLNO
a Comm# GG1$ 914
Comm# GG185S14
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si Q22
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119