HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7.8.2020 Permit Number:
O
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
Commercial
PERMIT APPLICATION FOR: Plumbing -WH
PROPOSED IMPROVEMENT LOCATION:
Address: 4u4b ureenwooci Drive
Property Tax ID #: 2421.702.0026.000.2
Site Plan Name:
Project Name:
Residential xxxx
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Remove and Install a New 30 Gallon Electric Medium Water Heater Located In Garage
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
— Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles Owens
Name: Manuel Duran
Address:4046 Greenwood Drive
Company: First Choice Plumbing Solutions
City: Ft. Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address: 1943 SW Biltmore St
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone N0772.879.1414
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail firstchoiceplumbingsolutions@gmail.com
State or County LicenseCFC1427369
11 value yr construction 15 40uu or more, a KULUKutu Notice of Commencement is required.
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
Name:
Address:
City: State:
Zip: _ Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: e Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 thepermit 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: allure to Record a Notice of Commencement may result in paying twice for
improvements to �tornev
u ro ert . A Notice of Commencement must be recorded in the public records of St.
Lucie County and e j ite before the first inspection. If you i nd to obtain financing, consult
with lender Qr an ore commencine work or recording vour N e PncPmant
Rev. J/G/LV
Signature of Ow er/ Less a tractor as A ent for Owner
Signature of C tr for License H Ider
STATE OF FL O IDA
STATE OF FL
COUNTY OF St. Luc.
COUNTY OFst.L--ie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this day of '2020 by
this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Typ of Identification
Type of Identification
Pro ,faced
Pro ced
C�
(Signature F�1iw3�` R to ida )
' a ida)
NOTARY P LICommissionSTATE
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Commissidrl s omm# G0185914 (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. J/G/LV