HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/08/2020 Permit Number:
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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
PRI�Pt3SED 1MPROVEM !#T I,�.
Address: 2300 River Hammock Lane
Property Tax ID #: 3404-702-0008-000/0
Site Plan Name:
Project Name:
Install Rheem Electric water heater 50 gals in garage on stand
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 )L Plumbing , Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 850.00
_ Generator
Lot No. 8
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ 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 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.
-UPP EMENTAL CONSTRU 7i 3N t,l `"+t LA, I�f�4R�ATi :
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
w'th lender or an attorney fore commencing work or re_Cording our Notice of Commencement.
a.'(ZLI
Signature of Owner/ I ssee/Contractor as Agent for Owner
Signature of Contract r/License Holder
STATE OF FLORIDA
COUNTY OF (� AR ' srJ
STATE OF FLORIDA
COUNTY OF
Swaf'n to (or affirmed) and subscribed before me of
Swoyr'to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
�/ Physical Presence or Online Notarization
this L day of � J L 2020 by
this .# � day of J "i (' 2020 by
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Name of person making statement.
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Name of person maki:70R
Personally Known V OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- Stat
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GC l+t0 g_ ,;�,>' °�E^' LEONPWI DEIr
Notary Public - S-a;e of Flo
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