HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/19/2020 Permit Number:
j1Z L UCCE �.
0
1 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: Hot water heater changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 7430 S Ocean Dr -Unit 520-13, Jensen Beach, FL 34957
Property Tax ID #: 3522-603-0027-000-8 Lot No.
Site Plan Name: n/a Block No.
Project Name: n/a
DETAILED DESCRIPTION: OF WORK:
Like for like hot water heater changeout. Installing 30 -Gallon Bradford White -electric low boy.
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 _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 950.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Laurie Leslie
Name: Jospeph Brownlow
Address: 12377 Equrine Lane
Company: Premier Plumbing and Air
City: Wellington, FL State: _
Zip Code: 33414 Fax:
Phone No. 305-335-2066
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail preplbgac@gmail.com
State or County License CFC- 1427780
IT vaiue OT 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.
DESIGNER/ENGI()IEER: _ Not Applicable
Name: WE
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMP NY: _ Not Applicable
Name:
Address:
Cita: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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 revie ., your deea 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 :.:. 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC"F COMMENCEMENT."
Rev. 2/7/19
Signatur o wnerl Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA I
STA TE OF FLORIDA
COUNTY OF • hLCI �
COUNTY OF tri
The forgoing instrument was acknowledged before me
The oing instru nt was acknowledged before me
W
this M day of 2000 by
this day of 20. by
S lre /Ow
RIS. , bowl b C9.)
Name of persoA making statement.
Name of person 6aking statement.
Personally Known X OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ture of Notary Pu F
' Commission # GG 208194
17'2022
igna ure of Notary Public St e of IoCteti., APRILBRUMLEY
t := Commission # GG 2081
*
Aprd17,2022
Commission No. -m,;., _. p`,•° F�
BondBd Tlr -y F& 6wwu A00 M-7
mmission No. -;• I=s
1 ;FO TMu Troy Fain M=ra
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19