HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12.07.2020 Permit Number:
Budding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXX
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: 9213 Wentworth LN
Property Tax ID #: 3327-801-0035-000-6
Site Plan Name:
Project Name:
I DETAILED DESCRIPTION OF WORK:
Like For Like: Remove and Reinstall a New 40g Electric Water Heater Located In the Garage
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
Lot No.
Block No.
_ Windows/Doors _ Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Lorraine S Sabatine
Address: 9213 Wentworth LN
City: Saint Lucie West State: _
Zip Code: 34986 Fax:
Phone No. (585) 721-3532
Name: Manuel Joseph Duran
Company: First Choice Plumbing Solutions
p Y�
Address: 1943 SW Biltmore St
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
VQ LAW 1-UMuULAW11 1 auv or more, a KrLuKuru Notice or 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
Name: MORTGAGE COMPANY: Not Applicable
Address: Name: —
City: Address:
State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name:
City: Address:
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 ntoywork or installation has commenced prior to the issuance of a permit.
which is inc County
with anrepresentation
applicable' Hothat
e Owners Association rules,bylaws or andpcovenan s that may restrictborprohihit 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 youl�`�roperty. A Notice of Commencement must be r ded in the public records of St.
Lucie County and postdl`gn the jobsite before the first inspection. If you Intend to obtain financing, consult
with lender or an att before commencing work or recording our_Natice of Canrmence ment.
Signature of Owner/ t,essee/Contractor as Agent for Owner
STATE OF kORIDA
COUNTY OF
rn to (or affirmed) and subscribed before me of
hysical Pr nce or Online Notarization
this —.1 day o_t_���20 by
Name of person making statement.
Personally Known_ OR Produced Identification
Type # Identification
Prod / ed
t
(Signature of N ry Pdhkr,§t#t@ rida )
NOTARY PUBLIC
Commission C rA,- _. __._1-C-_11
Comm# GG185914
REVIEWS FRONT ZONING
COUNTER I REVIEW
RECEIVED
DATE
COMPLETED
Signature of to ntracfor/License Holder
STATE OF FL JRIA r
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Pre 3 ce or Online Notarization
this day of 020 by
Name of person making statement.
Personally Known IN, OR Produced Identification
Type of Identification
(Signature of
4 Oo NOTARY PUBLIC
Commission Nox ?;sTaTF OF FLOR&al)
Comm# GG185914
SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW I REVIEW