HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07.24. 2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:'
XXX
Address: 46 Grande Vista Way
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 20 Gallon Lowboy Water Heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: 71
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: $ 800 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:'
Name Henke, Howard
Name: Manuel Joseph Duran
Address: 46 Grande Vista Way
Company: First Choice Plumbing Solutions
City. Port St. Lucie State: _
Address: 1943 SW Biltmore St
Zip Code: 34952 Fax:
City: Port St. Lucie State: FL
Phone No. 772.359.1229
Zip Code: 34984 Fax:
Phone N0772.879.1414
E -Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mailfirstchoiceplumbingsolutions@gmail.com
State or County License CFC 1427369
from the Owner listed above)
If 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.
SUPPLEMENTAL CONSTRUCTION LEN 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 OW ER:kneore
e to Record a Notice of Commencement may esult in paying twice for
improvements t oy. A Notice of Commencement must be re orded in the public records of St.
Lucie County ane jobsite before the first inspection. If you in end to obtain financing, consult
with lender n atcommencing work or recording vour i . n manrampnt
Rev. 5i n/ cu
Signature f Owner see/Contrac r as Agent for Owner
Signatur of Cont or/License Hol r
STATE OF LO
STATE O LORI
COUNTY O\��
COUNTY O
Sworn to (or affirmed) and subscribed before me of
hof n to (or affirmed) and subscribed before me of
�ehsical Presence or Online Notarization
this day by
�P ysical Presence or Online Notarization
ofr� 2020
this day of ` 2020 by
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Name of person making statement.
Name of person making statement.
N__OR
Personally Known Produced Identification
Personally Known OR Produced Identification
Typ of Identification
Type of Identification
Pro !ced
Produc
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(Signature of Notary Pub ic- St 9f Wi a )
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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