HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/07/2020 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: PLUMBING
PROPOSED lm!1 OVEME VJT Lp;;�.
Address: 13uu ever Hammock Lane
Property Tax ID #: 3404-702-0008-000/0
Site Plan Name:
Project Name:
Whole House Re -Pipe up in attic & down in crawl space, behind all fixtures in walls
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric $ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 9100.00
_ Generator
Sq. Ft. of First Floor:
Lot No. 8
Block No.
Windows/Doors Pond
— Roof Pitch
Utilities: —Sewer _Septic Building Height:
Name Paula A. Mascara
Address:2300 River Hammock Lane
City: Ft Pierce State: FL
Zip Code: 34981 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:Anthony Fioretto
Company: Quality Plumbing & Drains Inc.
Address: PO Box 1466
City: Port Salerno State: FL
Zip Code: 34992 Fax:
Phone No772-220-7577
E-Mail info@gpd.plumbing
State or County License CFC1 430284
IT vawe or construction is zbuu 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.
Name:_
Address:
City: _
GINEER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable
Name:
Address:
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
UWNtK/ CUNTKACTOR 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
,, th lender or an attorney —before commencing work or rerordinR your Notice of Commencement.
Signature of Owner
as Agent for Owner
STATE OF FLORIDA
COUNTY OF On AR-1 I-i�,)
Stphysical
to (or affirmed) and subscribed before me of
Presence or Online Notarization
this k day of -:T J i. 12020 by
ArJ-JHoNy -3O A E7T O
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Stat
6^ % 1fc S 9 F LEON P WILDE
ir
NotaryPublic:eofF
Commission No.Commission-GG'40°
My Comm. Expires Dec 6.
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Holder
STATE OF FLORIDA
COUNTY OF
S to (or affirmed) and subscribed before me of
7dPhysical Presence or Online Notarization
thisg+k day of 'SJ i_ i( , 2020 by
Ar�JrI-tnN'1 QaC T-rU
Name of person making statement.
Personally Known �OR Produced Identification
Type of Identification
Produced �J
ature of Notary Pu{blili
S 9 t1 "M; Pub^ ; LEON P WILDE
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ommisslon # GG i4o598
My Comm. Expires Dec6.2o2t
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