HomeMy WebLinkAbout5712 Paleo Pines CircleAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 10, 2020 Permit Number:
O114 `c? kr
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing— Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 5712 Paleo Pines Circle
Property Tax ID #: 1312-500-0028-000-8
Site Plan Name:
Project Name:
Lot No. 27
Block No.
DETAILED DESCRIPTION OF WORK: I
Install 50 Gallon Electric Water Heater
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 _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 800
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Stence
Address: 5712 Paleo Pines Circle
Name: Manuel Joseph Duran
Company: First Choice Plumbing Solutions
Address:1943 SW Biltmore St
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772) 359-2495 Select Actionx Call Send Text
City: Port Saint Lucie State: FL
Zip Code. 34984 Fax:
Phone No 772.879.1414
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Firstchoiceplumbingsolutions@gmail.com
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.
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:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a to do the work and installation
permit 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 1 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 youkWoperty. A Notice of Commencement must be r ded in the public records of St.
Lucie County and postdo'gn the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an att ' before commencin work or recording you rJ atce-oflCo- wnencement.
Signature of wner/ deshsee/Contractor as Agent for Owner Signature of ontr c'tWl_icense'Holder
STATE OF 0RID4 STATE OF FL RI A
COUNTY OF COUNTY OF
rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this L day of , ( _4 ,. , 2020 b
Name of person making statement. Name of person making statement.
Personally Known � OR Produced Identification Personally Known (N-k OR Produced Identification
Type if Identification Type of Identification
Prod ed Pro duc d
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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