HomeMy WebLinkAbout7700 Pine Lakes unit 7411All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/10/20 Permit Number:
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,:r` i Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Water Heater Change out
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IMPROVEMENT LOCATION:Closet
Address: 7700 Pine Lakes Blvd Port St Lucie unit #7411 A 34952
Property Tax ID #: 3422-596-0007-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
1 TAILE 3 I Ir R PTI N OF WORK
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Remove and replaced 30 Gallon Electric water heater
New Electrical Meter Second Electrical Meter _
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Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters — Windows/Doors _ Pond
_ Electric ZPlumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1940 Utilities: _ Sewer _ Septic Building Height:
. = SEE: CONTRACTOR:
71'Name
BR Carroll St Lucie LLC
Name: Dennis Hogan
Address:7700 Pine Lakes blvd
Company: Roto Rooter Plumbing Services
City: Port St Lucie State:--
Address:1901 Green Road
City: Deerfield Beach State: FL
Zip Code: 34952 Fax:
Phone No.
Zip Code: 33064 Fax:
E-Mail:
Phone No954-415-8378
Fill in fee simple Title Holder on next page ( if different
E-Mail nicholas.mittoo@rrsc.com
State or County License state
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.
ar.ng 1171
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
City:
State:
Address:
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA A
COUNTY 9-191J ✓y
STATE OF FLORIDA
COUNTY OFBr.wad
OF
Sworn to (or affirmed) and subscribed before me of
Swor o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical PreseAce or Online Notarization
this /yday of 2020 by
this /Q day of H -f— 2020 by
Dennis Hogan
Name of person making statement.
Name of person making statement.
Personally Known !i' OR Produced Identification
Personally Known yes OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publ
COLAS MITT00
(Signature of Notary R trim. '
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i
�- Nota Public State of Florida
COmmISSIOn No. C �On a GG 922464
;; ,, NICHOLAS MDe
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Commission No. � `#4
n ,,• My Comm• Expires Oct 22, 2023
Commiss�
MyComm. ExpiresBonded
through National Notary Assn.led
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Rev. 5/6/20