HomeMy WebLinkAboutSheila Wise Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: e Permit Number:
1.,' L�.0 LL✓'53
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential yes
PERMIT APPLICATION FOR:50 Gallon Electric Water heater changeout
Address: 6108 Santa Margarito Drive Fort Pierce, FL 34951
Property Tax ID #: 1312-501-0039-000-1
Site Plan Name:
Project Name:
Removed and replaced 50 gallon electric water heater
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
Lot No.
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric ,"'Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 890
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
NameSheila Wise
Address:6108 Santa Margarito Drive
City: Fort Pierce State: f
Zip Code: 34951 Fax:
Phone No.9544158378
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Dennis Hogan
Company: Roto Rooter
Address:1901 Green Road
City: Deerfield Beach
Zip Code: 33064 Fax:
Phone No954-415-8378
E-Mail nicholas.mittoo@rrsc.com
State or County License State
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.
State:%-"L-
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DESIGN ER/ENGI NEER: Not Applicable
MORTGAGE COMPANY: t_--Not Applicable
Name:
Name:
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:
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 property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST LUCIE
COUNTY OFST LUCIE
=Swo to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
L----Physical Presence or Online Notarization
this. 17 dayof JUNE 2020 by
this 17 dayof JUNE 2020 by
/7�
Name of person making statemenf.
Name of person making stat
Personally Known (_�OR Produced Identification
Personally Known---- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary te of FkWlaA) MrrTO0
X F da
N otary Public - state of Florida
G 922464]
i Commis 0
Commission No. Oct 22, 2023
y comm. 't ry Ass
a n
Bonded through National NotaryAssn.
(Signature of Notary
Commission No.
NICHOLAS MITTOO 'd
Notary Pub[ f FI d
nffl o ori a
Commi 9224604
ss IV
My Comm. Expires Oct 22, 2023
t 22 . 2023
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through Mat!
PLANS
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VEGETATION
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR
SEA TURTLE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20