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HomeMy WebLinkAbout5901 Spanish River RdAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/23/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Commercial Residential Xx PROPOSED IMPROVEMENT LOCATION: Address: 5901 Spanish River Road Property Tax ID #: 1312-502-0130-000-2 Site Plan Name: Portofino Shores Phase two Project Name: [ETAILED DESCRIPTION OF WORK: Install plumbing for owners electric tankless hot water heater Lot No. 306 Block No. New 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: OWNERAESSEE: CONTRACTOR: Name Maria Da Silva & Ivan Munoz Name:Dan iel Washburn Address:5901 Spanish River Rd Company:Ace Plumbing, Inc. City: Fort Pierce State: F:�-L- Address:665 4th Place Zip Code: 34951 Fax: City: Vero Beach State:FI Phone No.1-305-458-4366 Zip Code: 32962 Fax: 772-567-8494 F-Mail: Phone No772-562-3780 Fill in fee simple Title Holder on next page ( if different E-Mailace.plumbing@comcast.net from the Owner listed above) State or County License CFC032636 L. _. __..__.__.......w, ,,,v—, a --mr—ru,ounce uY Commencement is requires. 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 MORTGAGE COMPANY: 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 wit le er on an attorney before commencin work or ordin our Notice of Commencement. ignature of Owner/ Lessee/Contractor as Agent for Owner SI nature Contractor/License Holder STATE OFF RI A STATE OF FL RID COUNTY OF COUNTY OF t 4iorn to (or affirmed) and subscribed before me of worn to (or affirmed) and subscribed before me of Physical Prg, nce or ` Online Notarization Physical Presence or Online Notarization thl day of Ai, )L�_ 2020 by this, day of 2020 by 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 roduced Produced ;,,•4;Y ne ,, APRIL RE E CARINi =s°„ NotaryFU :ic St3teofFloric (Sign tune of Notary Public- State of Florida) ; • . Is to GG 121631 ( t re of Notary Public- State of Florida :s • Comm Ex esaol20,20: APRILRENEEC RINI ,"'; '' Eor'dedthro sh tionai Notary As Commission No. I a1L911 NotaryPobk -Stat of�El031f6rni ion N Commission & GG 121631 "= m Comm. expires J 120, 2021 6ardedtF;ouS�Natra at Notary ASSn. REVIEWS FRONT ZO 5 VEGETATION SEA TURTLE MANGROVE ©ATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED FAX 772-462-1578 AUTHORIZATION FORM FOR CREDIT CARD PAYMENT TO: St Lucie County Permit # Credit Card Users: 1.5% Surcharge added per transaction. Payments must be received in this department by 4:00 PM for transaction to be processed that day, if not it will be processed the following business day. VISA �-'MASTERCARD Credit Card Number 7.S- G Expiration Date Zip Code _ _7 3 digit security code Amount $ + 1.5% surcharge Business Name: Authorized Signature: Print Name: e'4 r "n , Phone: Fax; (..%) --���- L/_ Comments: SLCPDSD Revised 4/01/2010 EN