HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8.25-2020
LD)
Planning and Development Services
Permit Number:
Building Permit Application
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- W/H
PROPOSED IMPROVEMENT LOCATION:
Address: 9206 Champions'AY
Property Tax ID #: 3334-501..0095-ft000ft-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 50 Gallon Electric Tall Water Heater Located in Garage
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additionalwefo md under this permit —check a
_Mechanical _Gas Tank � Gas Piping
Electric
_Plumbing
Total Sq. Ft -of Construction:
Cost of Construction: $ 800
_ Sprinklers
Residential
Lot No. 17
Block No. B
II that apply:
_Shutters Windows/Doors Pond
_Generator � Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Thomas A Romanko Name,: Joseph Duran
Address: 9206 Champions WAY Com any.First Choice Plumbing Solutions
p
1
City: PoPortSaint Lucie State: Address: 1943 SW Biltmore St
PAN
Zip Co de: 34986 Fax: City: Psi State: FL
Phone No. Zip Code: 34984 Fax:
E-Mail:pm�
Phone No 772.879R1414
Fill in fee simple Title Holder on next page (if different E-MaiIfirstchoiceplumbingsolubi
ons@gmail.com
fromtheOwn r listed above) State or County License
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
DESIGNER/ENGINEER:
Name:
Address,,
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
...
Address
a
ury:Zip:
a
Phone:
Not Applicable
State:
Not Applicable
OWNER/ CONTRACTORAFFIDVITO_._
INFORMAT
IONO
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: -�
Phone:
BONDING COIPANY;
Namew
Address
City-so
Zip:
Phone:
Not Applicable
State
N
_Not Applicable
-----_.., Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation, has commenced prior to theissuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con�ict with any applicable Horne Owners Association rulesbylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and revie"
w your deed for any restrictions which may apply..
in consideration of the grant ing of this requested permit, I do hereby agree that I will, in ail 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 undergoingaf If
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 toy r property. A Notice of Commencement must be r corded 1'n the public records of St.
Lucie County and po. te'd on the iobsite the �t rn�no,.+;,,., .,... ��_.__s .
with lender o r a n Itto
Signature of Ow, er/ Lei!
STATE OF FL
COUNTY OF
IDA
__before�••,.•fir.ram�avc�.uu��_ifv�� �rnr-+nrr trib
T'lIN f.v.�..�...:.�.�__�_'.�
before
ie commenc2ingwork or record in
g_
Contactor as Agent for Owner
S nornhysical
to (or affirmed) and subscribed before me of
Pre S�
ence or Online Notarization
this ally of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type{f Identification
Prodced
(Signature of Nod, ,
�w
Commission No..,,..`
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
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STATE OF FLORIDA
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STATE OFF'-0.R1 A
COUNTY OF
Sworn to or affirmed) and subscribedbe ore me o
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XPhysical Pres nce or Online Notarization
th i M63.
day of a� 2020 by
Name of person making statement.
Personally Known {�✓� OR Produced Identification
Type of Identification
Prodced 1
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Commission No.o�
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