HomeMy WebLinkAboutBuilding Permit Application NOU-17-2020 10:23 FROM:RCE PLUMBING, INC 7725678494 TO:17724621578 P.4/5
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L1
Date: 11/17/2020 Permit Number: O� ,-
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Building Permit Application
Planning and Development Services G9 19:)3d
Building and CodeRegulorlon Division Commercial Residentia
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
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Address: 8303 North Blvd
PropertyTax ID#: 1301-608-0182.000.2 Lot No,94
Site Plan Name: Lakewood Park Unit 8 Block No. 21
Project Name:
QETAI•LED'DASCR'iA'65N OF WQRK;
Furnish and install 30 gallon LowBoy electric hot water heater
New Electrical Meter Second Electrical Meter.
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CaNSTRUCTI'ON'INFORMATIQN: ' • • "
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:$ 1050.00 Utilities: —Sewer —Septic Building Height:
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NamePatrick M. McCallisterSr Name:Daniel Washburn
Address:8303 north Blvd Company: Plumbing, Inc.
City: Fort Pierce State:_F&- Address:665 4th Place
Zip Code:34951 Fax: City:Vero Beach State:FI .
Phone NO.772-S38-78`90 Zip Cade:32962 Fax: 567-8494
E-Mail: Phone N66B2-3780
Fill In foe simple Title Holder on next page{If different E-Mail ace.piumbingecomcastnet
from the Owner listed above) State or County LiceriseCFC032636
If value of construction Is 2S00 or more,a RECORDED Notice of Commencement Is required.
If value of HAVC Is$7,506 or more,a RECORDED Notice of Commencement is required:
NOV-17-2020 10:24 FROM:ACE PLUMBING, INC 772567B494 TO:17724621578 P.5/5
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SUPPL'EM'ENTACCONSTRUCTION DEN I:AW`T I O'RMMN'
bESIGNER/ENGINE�ft: ,,,�„Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: _- State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Applicotion is hereby made to obtain'a permit to do the work and installation as indicated.
-I certify that no work orinstallation 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 au applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure,Please consult with your Home OwnersAssociation 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 recording your Notice of Commencement.
Signature o wner/Lessee/Contractor as Agent for Owner SI nature of contractor/License Holder
STATE OF FL RID STATE OF FI. RID
COUNTY OF COUNTY OF
X_S orn to(or affirmed)and subscribed before me of rn to(or affirmed)and subscribed before me of
Physical Pre s nce or Online Notarization -, liysical Prey nce or Online Notarization
this�day of 2020 by this-•day of NNC 2020 by
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Name of person making statement. 1 1- Name of person making statement.
Personally Known OR Produced Identi Personally Known_ OR Produced Identifi
Type of Identification W y Type of identification K c
duced Produced —21
(Signature of otary PubiiC-State of Florida) . ........... ; �gn tore of NotaryPublic-State of Florida) M�
Commission N y`
(seal) ��; , r�s Commission N (seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. p_._.._.•