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HomeMy WebLinkAbout7636 Germany Canal RdAll APPLICABLE INFO MUST BE COMPLETED AOR APPLICATION TO BE ACCEPTED Date: November 05, 2020 3�. 16 Permit Number: Building Permit Application Planning and Development Services Building and Code Regu/ation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone,: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR., Commercial 4 - Plu bing Water Heater Residential XXXX � PROPOSED IMPROVEMENT LOCATION: Add ress: X636 Germany Canal RD Property Tax ID #: 3220..433a -0001a-,000--2 Lot No. Site Plan Name: Block No. Project Name: Remove (2) Existing Tankless and Install (2) Rinnai Tankless Water Heater Model # V65eP Located Exterior of Home New Electrical Meter Second Electrical Meter Additional work to be performed under this permit — check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors T Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq.. Ft of Construction: Cost of Construction: $ 800 Sq. Ft. of First Floor: Utilities.* _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Troy DrawdyNamee Manuel Joseph Duran Address: 7636 Germany Canal RD Company: First Choice Plumbing Solutions ham City: Fort Pierce State: Address: 1943 SW Biltmore St Zip Cod e: 349$7 Fax: city; Port Saint Lucie State: FL Phone No. Zip Code: 34984 Fax: E -Mail:. Phone Na 772.879.1414 Fill in fee simple Title Holder on next page (if different E -Mail Firstchoiceplumbingsolutions@gmaml-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. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. IF i� s ust be s ff, 4-3 KRN W 10 Kj W prim I film r/Agent and applican SULT WITH YOUR L TICE OF CONIMEN y 0 )unt 0 4 I I -4 f * Isq�l�=i-iFli bsen'b. thl's 20 _, by personS-rlly known as identification Notary Signator to or who has produced Comm Notary (print name) FLORIDA 14120 (Sigmatul, State of e (including coy unty of Affirmed to and subscribed before me this zo � , b y personally known to as 'dentification.- Notary Signature; Not (print name) J who has produced a 1 xpires 2/14120�22- 1& 4.aL Construction documents must accompany this application. The Florida energy code submitted becomes an integrl part of this pan and must pass final inspection. "Notice: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may be found in the public record of this county, and there may be additional permits required from other governmental entities such as waste management district, state agencies, or federal agencies. "SIGNATURE OF THE APPLICANT MUST BE NOTARIZED. If owner builder, applicant must sign in person. BUILDING PERMIT includes: Building, Electrical, Plumbing, Mechanical, and Sewer only. All other trades require separate applications. Asbestos compliance: It is the owner's or operator's responsibility to comply with section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of his or her intentions to remove asbestos, when applicable, in accordance with state and federal law. E SIMPLE TTTLEHOLDER, BONDING COMPANY AND MORTGAGE LENDER INFORMATION IS REQUIRED WHEN THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS AND NOT JUST WORK AUTHORIZED BY TINDIVIDUAL PERMIT) IS $2500 OR MORE (EXCEPT HVAC REPAIR/REPLACEMENT< $'7500). PLEASE ADDRESS ALL ITEMS. FeeSimple Titleholder's ❑ Same as Owner Bonding Company ❑ Not Applicable Name (if other than owner): Name:Address• Address: City: State: Zip: City: State: Zip: Mortgage Lender's ❑ Not Applicable Name:AddressCity: State• Zip: OFFICE USE ONLY Is the property located in a Special Flood Hazard Area. (floodplain) per the current Flood Insurance Rate Map (FIRMYes ❑ No Flood Zone: Reviewed by:Determination: Permit Fee $ Other $ Plan Review deeState Surcharge $ OtherRouting FeeSubcontractor $ Flood Review Fee $ Otherotal Amount DuessuanceActive Code violarion ❑ Yes o No Remarks Case # Case Type