HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date : 09- 01 . 2020 Permit Number:
9rc [L(Uct is
17
`;� b L6) `� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone : ( 772) 462- 1553 Fax : (772 ) 462- 1578
PERMIT APPLICATION FOR : Plumbing -Water Heater
PROPOSED IMPROVEMENT LOCATION :
Address .. 5847 Dream Ct -Section One- Unit 12A
Property Tax ID # : 3410-507-0045--.000- 1 Lot N o.
Site Plan Name : Block No .
Project Name :
DETAILED DESCRIPTION OF WORK :
Install 28 Gallon Electric Lowboy Water Heater Located Interior Of Home
New Electrical Meter Second Electrical Meter
CO NSTRUCTION INFORMATION :
Additional work to be performed under this permit — check all that apply :
_Me c h a n i c a l _ 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 ..00 Utilities : � Sewer _ Septic Building Height :
OWNER/ LESSEE : CONTRACTOR :
Name Robert C Rizzo Name : Manuel Joseph Duran
Address : 5847 Dream Ct Company : First Choice Plumbing Solutions
City : Fort Pierce State : FLow- Address : 1943 SW Biltmore St
Z i p Code : 34982 Fax : City : Port Saint Lucie State : FL
Phone No . (772 ) 971 -7233 Zi p Code : 34984 Fax :
E- Ma 'i Phone No 772 • $79 . 1414
Fill in fee simple Title Holder on next page ( if different E - Mail Firstchoiceplumbingsolutions@gmaii . com__
4 OR' .from the Owner listed above) State or County License CFC1427369
If value of construction is 2500 or more, a RECORDED Notice of Commencementi's required .
If value of HAVC is $7,, 500 or more, a RECORDED Notice of Commencement is required .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIONN
DESIGN ER/ENG I NEER : _ 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
' '
N a m e : 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 asindicated .
certify that no work or installation has commenced prior to the issuance of a permit.
St ,. Lucie Countmakes no representation that is granting a p ermit will authorize the permit holder to build the subject structure
which is in conwict 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 1 will, in all respect
s., perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments .
The following building permit app lications 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 you property ,, A Notice of Commencement must be re rded in the public records of St .
Lucie County and post '. d on the Jobsite before the first inspection . If you I e d to obtain financing, consult
with lend r or an att commencin work or recordi* n our mencement ,
F
Signature f Owner/ sse ontracto as Agent for Owner Signature Cont ctor cense Hol r
STATE OFF ' ID STATE OF RI A
COUNTY OF T � . � �� c �� � COUNTYOF
Sworn to ( or affirmed) and subscribed before me of Sworn to ( or affirmed ) and subscribed before me of
X Physical Presence or Online Notar izat ion X Physical Presence or Online Notarization
this � day of *7) LY�s 2020 by this day of "���� k 2020 by
Name of person making statementp Name of person making statement.
Personal ly Known �OR Produced Identification Personally Known R Produced Identification
Type of Identification Type of I entificatign
Prod ' ed Produce
ell
A A -A
RWPPW-
Si nature of NotaryPublic- F �� enez�a� g � ( Signature of Notary Public- State of Flo a )
NOTA Y PUBLIC Y '4S Ariana Veneziano
�+ S7 � F FLORIDA �. NOTARY PUB
CA
Commission No. '� � Commission No. FE OF FL�RiDA�
C omm# GG 185914 -� Z5 I A
•s�'�CE 19�� Ex6res 2/14/2022 Comm# GG 185914
• y E . 1q xPires 2/14/202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20