HomeMy WebLinkAboutBuilding permit appAIIAPPTICAB[E INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTED
Daltf_. 07t22t2020
Permit Number:EI
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Plonning ond Development Services
Building and Code Regulotion Division
2j00 Virginio Avenue, Fort pierce FL 34gg2
Phone: (772) 462-1553 Fax: (772) 462_1578
PERMIT APPLTCATTON FOR: plumbino
PROPOSED IM PROVEM ENT LOCATIOTU
Building Permit
Commercial
Application
Residential x
Address: 3403 US 1 FORT ptERCE, FL,34}B2
Property Tax lD #; 1423-802-0002-240-2
Lot No.23
Elock No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE 30 GALLON ELECTRIC WATM
New Electrical Meter Second Electrical Meter
CONSTRUCTI ON I N FORMATIO N :
Additionar work to be performed under this permit - check a, that appry:
_Mechanical
_ Electric
_ Gas Tank
-[ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
_ Pond
Pitch
Total Sq. Ft of Construction;
Cost of Construction: 5 1000.00 Utilities: _Sera.rer _septic Bullding Height:
ry3ms Tony Berger
Name: Benjamln Jimenez
Address:3403 U.S 1
Company; Beniamin Drew's Plumbing
City: fort Pierce State: FL Address: 4117 bandy blvd
ZiP Code: 34982 Fax:City: frrr'.t lierce
phon e 61 s. 7 7 2-877 -2962
Zip Code: 34981
Fax;
State: FL
phone yo772-877-2962
Fill in fee simple Title Holder on next page ( if different E-MaiI BEN@BENJAMINDREWSPLUMBING.CoM
from the Owner listed above)State or County License CFC 1429456
OWNER/LESSEE:CONTRACTOR:
lf value of construction is ZSOO -.Iuqui.ud.
lf value of HAVC is 57,5oo or more, a RECoRDED Notice of commencement is required.
WnucrrDESIGNE
Name:
Address:
City:
Zip: ---pho*
FEE SIMPLE TITLE HOLDER:x Not ApplicableName:
Address:
City:Zip: ---FhonE
ENGINEEfu x Not AppltiEte MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
City:State:Zip: -----Tho*,
BOiVDII'lG COfv,riAt\ r':
Name:
x Not Applicabie
City;
Zilt: .
owNER/ Co ;;"I certify that no work or instailation r'',or .orrun.ed prior to t.," irrrrn.Jot a p"rmit.
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':"sY r'*,?i' ?3;"?'&,i."iii"!silEb;qiiii,g-"iiu?i#1yll '#;[?:rsJ::f :t,ii!;igr r: bui,d the subject structurestructure' Please consult wltrr'1i'ouiFi,io,i,n"'it Association anb rei;6,i,yori cleer ioi -r,i, ,,.ii?,:i*;l#;ii
ff.,r.jfieil,t;i ,r;l
ln consideration of the granting of this requested,permrt, I do hereby 38ree thst lu.,,ri, ;: all .r3pccrj, perrorm the workrn accordance with the approued pr.ns, ir',-" iioliii aritaing c"o"r.,lj"si'r-r:cre counr; Arerrl.: _.nlsThe following building permit applications are exempt from undergoing a fur concurrency review: room additions,access0ry structures' swrmming poors, fences, wails, signs, taruan io",ir"a"d accesscrr,, ur.r r. ."rtr.rer non_residentiar usi.WARNING To owNER: Your failure to Record a Notice of commencerren: rnay resurt in paying twice forrmprovements to your property' R Notice oiC;;;"n".ur'"n, mustbe iei"iilo in thepubric records of st.Lucie Countv and fosteb "" it djrfili" n"r"i"ir.," iiitiiriltection rrv"r-ii.tuioto obtain financins, consutt
mencement].
Signature ofbwner/ L sse e/Co ntractoiasTge nt f oi o*ffi
STATE OF FLORIDA
COUNTY Qp st 1u.,"
Swo;n to (or affswoy_to (or affirmed) and subscribed before me of#ffif"ijisftU --
on,ine Notar zation
,2020 by
l,'ffi
i
)'gnati;': ot C:rrlr ;.e+erftr61r-
I srarr oF FLCRTDA
I COUNTY OF
Person:ll,,r (nc!.r/it i _ OR proClLced ldentification
Type of ldentifi :ation
Produced
otary Publ!c- Stat
Cil!:,195,1
Vf UE IA IIUI\
REVIEW
PLAIiS
REVIEW
Personally Known x OR produced ldentification
Type of ldentification
(Signature of ruotary euftic-
CommisSion No. Gco24s6o
SEA TURTLE ]
REVIEW i
MANGROVE
REVIEIV
Name of person makjng statement
^{,k }aot'ry Pubttc Stare ol Florida
i*3'ffi#1h!3'sn3'
REVIEWS FRONT
COUNTER
zoNtNG I suernvrson
REVTEW I nrvrrw
MPLETED
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Erpk.3 m/23r2020