HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/22/2020 Permit Number:
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- 9500 S Ocean Drive, Unit 1508, Jensen Beach, FL 34957
Property Tax I D #: 4502-602-0142-000-8
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for like Hot Water Heater changeout. Installing 40-Gallon Rheem, electric, Hot water heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul Pietras
Name: Joseph Brownlow
Address: 9500 S Ocean Drive , Unit 1508
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No.
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
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.
DESIGNER/ENGINEER: , _ Not Applicable
Name:
Address
City: I State:
Zip: Phone
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Citv: 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 worts ano rnstaiiauun d�, 111U1Ud ICU.
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 deea for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree teat 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 NOTI F COMMENCEMENT."
Signatur o wnerl Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA C 1 /r STAA OF FLORIDASZ UCOUNTY OF > hC�i� COUNTY OF C�
The forgoing instrument was acknowledged before me
this'oO<:;P day of C7(14- , 20_24)by
lrb* l�
Name of persoA making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
The forgoing instrum t was acknowledged before me
thi @ day of 2�y
cry (f L 1 C9J
Name of person i1making statement.
Personally Known _ OR Produced Identification
Type of Identification
Produced
(Sign ture of Notary Pu FUMY ignalure of Notary Public- S
;< Commission GG 208194
Commission No.22
�royF�08"003a57 mmission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
I )46Q,, i APRIL BRUMLEY
Commission I GG 20f
' I Expose Apr017, 2022
forded
:Fd6n4;' ThaTmyFmb u
SEA TURTLE MANGROVE
REVIEW REVIEW