HomeMy WebLinkAbout7700 Pine Lakes Unit # 7705All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/19/20 Permit Number:
gya UILE_VV16
�°'� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential Yes
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Water heater Change out
lftCPaSQ 1MPRt?tEMNT LOCATION:
Address: 7700 Pine Lakes blvd unit #7705 FL/—'3 L,( YS"2,—
Property Tax ID #: 3422-596-0007-000-6 Lot No.
Site Plan Name: Block No.
Project Name:EDETAILED
DESCRIPTION OF WORK
Removed and replaced 40 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 V Shutters _ Windows/Doors _ Pond
_ Electric Plumbing _ Sprinklers _ Generator _ Roof _ Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 1800 _ Utilities: _ Sewer — Septic Building Height:
OWNER&Et SEE; CONTRACTOR: _LL_
--
NameBR Carroll St Lucie LLC
Name:Dennis Hogan
Address: 3340 Peachtree Road NE Suite 2250 _
Company: Roto Rooter Plumbing
City: Atlanta State: ,
Address: 1901 Green Road Suite H
City: Deerfield Beach State: FL
Zip Code: 30326 Fax:
Phone No. 9544158378
Zip Code: 33064 Fax:
E-Mail:
Phone No9544158378
Fill in fee simple Title Holder on next page ( if different
E-Mail Nicholas. Mittoo@rrsc.com
State or County License cfcl 428009
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Not Applicable
Signature of Owner/ Lessee/Contractor as Agent for Owner
��ee
i;
MORTGAGE COMPANY: Not Applicable
Name:
STATE OF FLORIDA
Name:
Address:
Sworn to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization!
Address:
City:
State:
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City: State:
Zip: Phone
Name of person making statement.
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
Type of Identification
BONDING COMPANY: _Not Applicable
Name:
Produced
(Signature of Notar pnf ElQricLa L
Name:
Address:
t►R �`•. NICHOLASMITT00
' '? Nota
Commission No. Notary PubligSkal$ of Florida
Y'�;...
4ia &,'•., NICHOLAS MITT00
Commission No. p • ': Notary Public • S(fie�Illorida
Address:
City:
City:
Zip: Phone:
Zip: Phone:
on
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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recordine vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF /3iZ..-'0'W
STATE OF FLORIDA
COUNTY OF
Sworn to or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization!
sical Presence or Online Notarization
thisL day of /t%o� 2020 by
this"7day of N� 2020 by
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Name of person making statement:'
Name of person making statement.
Personally Known '---OR Produced Identification
Personally Known --� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notar pnf ElQricLa L
(Signature of Not Pu Ii - . a f F o 'd
t►R �`•. NICHOLASMITT00
' '? Nota
Commission No. Notary PubligSkal$ of Florida
Y'�;...
4ia &,'•., NICHOLAS MITT00
Commission No. p • ': Notary Public • S(fie�Illorida
ommission GG 922464
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My Comm. Expires Oct 22, 2023
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