HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Plumbing Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 305 SE Abeto Lane Port St Lucie FI 34983
Property Tax ID#: 3419-540-0221-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install Liberty Pumps Pro 370(P372LE51)Simplex Submersible Sewage Pump System. Run drain to grinder pump system.
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 XPlumbing —Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1100 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR.
Name Hadel Altef Name: Joe Duran
Address: Company:First Choice Plumbing Solutions
City: State:— Address:1943 SW Biltmore street
Zip Code: Fax: City: Port St Lucie State:FI
Phone No. Zip Code: 34984 Fax:
E-Mail: Phone No772-879-1414
Fill in fee simple Title Holder on next page(if different E-Mailfirstchoiceplumbingsolutions@gmail.com
from the Owner listed above) State or County License CFC1 427369
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 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
Name: 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 ma suit in paying twice for
improvements to yo ,property. A Notice of Commencement must be r c rded in the public records of St.
Lucie County and pos �! on the jobsite before the first inspection. If you i nd to obtain financing, consult
with lender or an attor efore commencing work or recordi our 1 mmencement.
i
Signature of ner/L s ee/Contract as Agent for Owner Signa re of Co tractor/License Ho er
STATE O FLORIDA STATE O ORIDA_
COUNTY O COUNTY OF J
Sworn to(or affirmed)and subscribed before me of Syt4qn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization 'Physical Presence or Online Notarization
this day of 2020 by this day of by
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known �/�R Produced Identification
Typ of Identification Type of Identification
Pro uced Pro uced
F s
(Signature of NotaN Public-State of Florida) (Signature of NotaryPublic-Staik of Florida)
Adana Veneziano
ot�Y�s � p Adana Veneziano
Commission No. cr °o NOTAR LIC Commission No.
� otF A NOTARY PU6�4fial)
STATE ORIDA
0 o m ESTATE OF FLORIDA
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"YCE 1Expires 2/14 20 2 Expires 2/14/202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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