HomeMy WebLinkAboutBuilding permit app, PG 2Ili
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/29/20 Permit Number:
O
Building pp 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: TANKLESS WATER HEATER
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PROPOSED
NT :'
IMPROVEMELCAION.
Address: 2711 S 19TH ST.
Property Tax ID #: 2421-243-0001-000-3
Site Plan Name:
Project Name:
INSTALL NEW GAS TANKLESS WATER HEATER.
New Electrical Meter Second Electrical Meter
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: Sq. Ft. of First Floor:
Cost of Construction: $ 1000.00 Utilities: _ Sewer _ Septic
Building Height:
OWNfR LESSEE.
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CONTRACTOR.�� .�,
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Name MANSUETA.D.,CROWELL
Name: CHRIS JOHNSON
Addr6s:2711 S: 1E`T,H ST., s>
Company: CNJ PLUMBING L.L.C.
City:, FT. PIERCE State ..
Address:_1701 S. 37TH ST.
Zip Code: 34982 Fax:
City: FT. PIERCE State: FL
Phone No. 316-249-2749
Zip Code: 34947 Fax:
E-Mail:
Phone No 772-801-3073
Fill in fee simple Title Holder on next page ( if different
E-Mail CHRISJOHNSON@FPUA.COM
from the Owner listed above)
State or County License 30950
it value of construction is ZSUU 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.
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DESIGNER ENGINEER:
/
Not Applicable
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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 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 jobsit efore the first inspection. If you intend to obtain financing, consult
with IPnrlpr nr an attnrnev hefnre c_ mencing work or recordine vo�ri'r' Notice of Commencerocimt.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License HoldCr
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF � Lt/P_Ie_
COUNTY OF ) ,Ue.l-e-
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓Physical
✓ Physical Presence or Online Notarization
Presence or Online Notarization
this a94*-day of t)eA-o he_r , 2020 by
this 7& day of OC_ br _r , 2020 by
Name of person makingstatement.
Name of person making/statement.
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Personally Known OR Produced Identification
Personally KnownOR Produced Identification
Type of Identification
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Type of Identification
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Produced •
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Produced .
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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