HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08.25.2020 Permit Number:
-
O
V ° e Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing -WH
PROPOSED IMPROVEMENT LOCATION:
Address: 419 WILLOWS AVE
Property Tax ID #: 3419-510-0186-000-8 Lot No.21
Site Plan Name: Block No. 16
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL 40 Gallon Electric Medium Water Heater Located Inside of Home
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 _ 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:
NameCharlotte Barnes
Name:Joseph Duran
Address:419 Willows Ave
Company: First Choice Plumbing Solutions
Address:1943 SW Biltmore St
City: Port St. Lucie State: —
Zip Code: 34952 Fax:
City: Port St. Lucie State:Fl
Phone No.
Zip Code: 34984 Fax:
Phone No772.879.1414
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailfirstchoiceplumbingsolutions@gmail.com
State or County License CFC1427369
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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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 y wr property. A Notice of Commencement must be r orded in the public records of St.
Lucie County and pot d on the jobsite before the first inspection. If you ihtend to obtain financing, consult
with lender or an atto a before commencingwork or recordingour ncement.
Signature of Ow er/ Le Connr ctor as Agent for Owner
STATE OF FL IDA
COUNTY OF � \- -' , ' k
Sworn to (or affirmed) and subscribed before me of
1.I1,Physical Pre nce or Online Notarization
this o5 day of 2020 by
Name of person making statement.
Personally Known Cy�-_OR Produced Identification
Type f Identification
Prodlced
of N
Commission No.
t pt0 a )
STATE OF FLORIDA
Comm# GG18g9't'b1)
Expires 2/14/2022
Signature
STATE OF Fb
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
NCPhysical Pres nce or Online Notarization
this _ day of 2020 by
Name of person making statement.
Personally Known Qy, OR Produced Identification
Type of Identification
(Signature of Not ic�i Mf�bpm )
o� n NOTARY PUBLIC
OF Commission Noo STATE ffiilt GG18b9i41�
r�Nce 1�� Expires 2/14/2022
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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DATE
COMPLETED
Rev. 5/b/20