HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9,P-8,2020
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
It
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578
Commercial
Residential XXXX
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 829$ Mulligan CIR 2321
Property Tax ID #4 : 3327oft5O2-0045-h-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 40 Gallon Electric Tail Water Heater Located Inside Home
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
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 800
_Sprinklers
Generator
Windows/doors _Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER LESSEE:
CONTRACTOR.
Name Zoumit LLC
Name: Manuel Joseph Duran
Address: 11401 SW WaldorF CT
Company: First Choice Plumbing Solutions
CitY: Port St. Lucie State:
Address:1943 SW Biltrr�ore St
1. Zip Code: 34987 Fax:
Phone No. (772) 342.m8666
City: port Saint Lucie State: FL
Zip Code: 34984 Fax:
E-Mai info@home4novA.com
Phone No 772-87941414
Fill in fee simple Title Holder on next page � if different
E-Mail Firstchoiceplumbingsolutions@gmail.com
from the Owner listed above]
State or County License CFC1427369
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
-N
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:
mpbplw
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT
6 s
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 the issuance of a permit.
St.LucieCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whichis 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.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lucie County) kmendments.
The following building permit applications are exemptt.rom undergoing a full concurrency review: room additIN & ions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Reccrd a Notice of Commencement may result in paying twi ce for
i
mprovements to you
Lucie County and post
with lend4r or an atta
., property. A Notice of Commencement must be re
td on the jobsite before the first inspection
com encin
Signature fwner/O�esse�Contracto�as Agent for Owner
STATE OF Ft
COUNTY OF
ID
y
work or recordin
Signature
. If you i
vour N_x
rdaed in the public records of St.
e d to obtain financing, consult
k _4)_ mencement.
llz�l -
Cont)6ctor�&cense Ho
STATE Of F1 RI A
COUNTY OF
Ider
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this \ day of 2020 by this � dayof ���;->a_k-,N",rqg-2020 by
Name of person making statement.
I Personally Known R Produced Identification
�I Type of Identification
Prod4,' ed
Lp
(Signature of Notary Public;
e
Commission No.
FfgefN�veneziano
pe �n NOTA Y PUBLIC
o S T F FLORIDA
� Comm# GG 185914
Expires 2/14/202112
Name of person making statement.
Personally Known 1A0R Produced Identification
Type of I entificatian
Produce
A A A N
(Signature of Notary Public- State of Floka )
pSyAriana Veneziano
Commission No. e NOTARY PUB�al)
E OF FLPR11DA
I ': Comm# GG1 85914
CE
xPires 2/14/202
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Rev. 5/6/ZU