HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 27, 2020 Permit Number:
V LULL
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) 462-1S78
PERMIT APPLICATION FOR: Rene Licari
PROPOSED IMPROVEMENT LOCATION:
19
Address: 190 SE EL S1ITO CT_f' -71 n� I,.�
Property Tax ID #: 4� 5116 03[ to " GCO - 5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
WATER HEATER REPLACEMENT ( (� aQ1 16WfY1 e e6N�
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 X.Plumbing —Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
•11 11
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name RENE LICARI
Name: JASON WINTERCORN
Address: 190 SE EL SITO CT.
Company: SOUTH PARK PLUMBING, INC.
City: PORT ST. LUCIE State: _
Zip Code: 34983 Fax:
Phone No.
Address: PO BOX 768
City: PORT SALERNO State: FL
Zip Code: 34992 Fax:
Phone No 772-287-2548
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail southparkplumbing@live.com
State or County License CFC1426656
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:
BONDING COMPANY: Not Applicable
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 our property. A Notice of Commencement must be recorded in the public records of St.
Lucie County anqlpoecl on the jobsite before the first inspection you inteno to obtain financing, consult
withjeWr or ah attorney before comMencinR work or recor ur Wtice,.ibf Commencement.
61
as Agent for Owner
Contr
'E OF FLORI STAT OF FLORfjp
NTY OF : �11_ C:t �' CO NTY OF _ C�
Swor}. to (or affirmed) and subscribed before me of
./ P sicaI Presen a or Online Notarization
this day of 2020 by
Name of person making statement.
ly Known V" OR Produced Identification
Nota
- CHAT) WINTFRCORN \
o. , 2 . . r• : N0t415ElilIiliC - Slate of Florida
Commission # GG 062220
-b.. ya My Comm FMnir" Mar I 7n9i
Sworn to (or affirmed) and subscribed before me of
�P ysical Pre, nce or Online Notarization
this 2day of - ice' 12020 by
"A' C(A
Name of person making statement.
Personally Known V""' OR Produced Identification
(Signat rA of Notary Pumli t%amo,,F on a CHAP WINTERCORN
\`\PRY pUB'�i
Notary Public - 5tat8 of FI
Is No. . •' "Ssion # GG 062:
My C omm. Expires Mar 18,
9ouded thtou
h National Notary Assn
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Rev. 5/6/20