HomeMy WebLinkAboutNorr_ Permit ApplicationAtilt,A►PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/11/2020 Permit Number:
O
Building Permit Application
}f a'Planning and Development Services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORMater heater changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 8880 S Ocean Drive, Unit 508, Jensen Beach, FL 34957
operty Tax I D #:
3535-602-0042-000-6
Site Plan Name: n/a
Project Name: n/a
Residential X
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
Like for Like Hot water heater changeout. Installing 40-Gallon, Electric - hot water heater Bradford White
Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank —Gas Piping — Shutters — Windows/Doors — Pond
Electric Plumbing —Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic
Building Height:
,QLWNER/LESSEE:
CONTRACTOR:
Name Neil Norr
Name: Joseph Brownlow
Address:8880 S Ocean Drive Unit 508
City: Jensen Beach, FL State: _
JZip Code: 34957 Fax:
e No. 847-736-4552
Company: Premier Plumbing and Air
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail preplbgac@gmail.com
tp, r
€-Mail:n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CFC-1427780
IT value Or construction is LbUO or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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um F1 .� `.3
DESIGNER/ENGINE R: _ Not Applicable MORTGAGE CO�VIP NY: Not Applicable
_
Name: _ 1—•( G!�- Name: l�(
'
Address: Address:
City: State: City: State:
-'Zip:
Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
.'4
DOWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
i I certify that no work or installation has commenced prior to the issuance of a permit.
f .;$t. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
�vhwhich in Home
is conflict with any applicable Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and revievr your deea 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 Cosies and _. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARIINNG 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI F COMMENCEMENT."
Signatur T
wnerl Lessee/Contractor as Agent for Owner
Signat re of Contractor/License Holder
STATE OF FLORIDA c j
�T CACj�
STATE OF FLORIDA �[
ZTY C
COUNTY OF
COUNOF V / r�
fgrgging instrument was acknowledged before me
day � 20�
The frAging instrument was acknowledged before me
1e of _ by
thisday of t /7 20.20 by
low
g Name of persoA making statement.
Name of person 6aking statement.
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ig ture o"NotaryPu F
igna ureof Notary Public- S e of I,og�t�lde4�j, APRILBRI DICEYCOl
wAssw # GG 208194
p ` 1j��
,: Cp ipp # GG 208194Commission
A017.2022
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moo,, rey Ftin h�su9nte a0t1365 7
mmission No. I
1 :Foso: 9mWT1ru Trey Fsn
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
' DATE
` COMPLETED
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