HomeMy WebLinkAboutPlumbing App Lucas, JeanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
91L
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 780 SE Hidden River DR Port St Lucie, FL 34983
Property Tax ID #: 3427-701-0063-000-1
Site Plan Name: HIDDEN RIVER ESTATES
Project Name: Lucas
DETAILED DESCRIPTION OF WORK:
Remove existing tub and Install New Walk in Tub. NO tile or dry wall work being done
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.28
Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1700.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elva J Lucas
Name --Michael Coleman
Address:780 SE HIDDEN RIVER DR
Company:Prefab Plumbing Inc
Address:1100 Carr St
City: Port St Lucie, State: _
Zip Code: 34983 Fax:
Phone No.772-349-3847
City; Palakta State: FL
Zip Code: 32177 Fax:
Phone 1\10386-546-'7643
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mgcl 980@gmail.com
State or County License CFC 043003
If value of construction is 2500 or more, a RECOKULU Notice or lOmmencemem is leyunca.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
UPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worn anu o ••• •.-•_-•
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
,.. .e,•,,.a:.,a vnnr NntirP of Commencement.
with lender or an attorney before cornmcnu;; w�;
n c v, ••• -. ---- -
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Signature of Contractor/License Holder
Signature of ter/ Lessee/Contractor as Agent for Owner
STATE OF F1
STATE OF FLP,
COUNTY Ol -_rl of rlyo�
COUNTY OF�iS/!DGc
S to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Notarization
LoIr
hysical Prase a or _Online Notarization
—Psical Presence or _ Online
L day of � 2020 by
is day of 2020 by
this
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Name of person making statement.
Name of person making statement.
L--""OR Produced Identification
Personally Known OR Produced Identification
Personally Known
Type of ldentlficatie
Type of Identific t' n
Produced I
Produced
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(Signature o ota Pub' St $ I a
0'ery Ublk State of FbrMa
Signature P P�aic sine of Rode
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KATHR NPOCKER
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Commission No. . C `I( 'ss'OM GG 049422
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Commission No. My comhrt�n9e�G 049422
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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