HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/24/2020 Permit Number:
cy�..>:
0' T C r Building Permit Application
Planning and Development Services
Building and Code Regulotion Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 N Hwy AllA Unit 405
Property Tax ID #: 1425-606-0009-000-4 Lot No.
Site Plan Name: Sands on the Ocean Section 1 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replaced electric hot water heater with a 38 gallon LowBoy hot water heater
New Electrical Meter Second Electrical Meter
CONSTRiJCTION ilivFORMATiOiv:
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: $ 1,199.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
NarneVictor & Elena Genel
CONTRACTOR:
Name: Daniel Washburn
Address:12 Cabot Street
Company:Ace Plumbing, Inc.
City.. Natick State: VVIO
Zip Code. 01760 Fax:
Phone No.1-508-451-5071
Address:665 4th Place
City: Vero Beach State: FI
Zip Code: 32962 Fax. 772 567-8494
Phone No772 562-3780
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ace.plumbing@comcast.net
State or County LicenseCFC032636
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
IT ValUe oT l" X%;C is $7,500 oe more, a RECORDED Notice Of Canirnencernenr VS 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 lend or an attorney before commencing work or rqcording your.Notice of Commencement.
re
ractor as Agent for Owner
Contractor/License Holder
STATE OF FLQRIDA STATE OF FL I A
COUNTY OF �L COUNTY OF-
rain to (or affirmed) and subscribed before me of
h sical Pr. rice or Online Notarization
is day of 2020 by
�n iCA IV
Name f person making statement.
Personally Known ,\ OR Produced Identification
Type of Identification
re of Notary Public- State
Commission
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Sw rn to (or affirmed) and subscribed before me of
Ph sical PrAsence or Online Notarization
this A day of JI " t C , 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of identification
Produced _
of Notary Pu
APRIL RENEE CARINI
�ea�otaryPcolic- StateuiFlorid C mission
Commission ", GG 121631
My Cemm- Expires dui 20.20 1
E�SOR I
VON
REVIEW REVIEW REV W REVIEW
APR]L RENEEE CAMM
_kSCMI)ry Public - State of'rior4
Commission T G6121639
My Comm. Expires Jul 20, 2021
REVIEW I REVIEW