HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/21 Permit Number:
LL U!
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
�RERVIT APPLICATION FOR: water heater change out
m.
Address: 5311 Oleander Ave Fort Pierce FL 34982
Property Tax ID #: 3404-501-0527-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
'ILI
7 77'7s a,t-Td4 a
'4131A, 1918N�
5,4
Removed and Replaced 40 Gallon Electric Water heater
New Electrical Meter Second Electrical Meter--------
7
:,I MIN r, 'I XMI
11 5 Additional work to be performed under this permit— check all that apply:
—Mechanical — Gas Tank —Gas Piping Y Shutters Windows/Doors Pond
__ Electric )< Plumbing Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
C,
Cost of Construction.. 2050 Utilities- Sewer Septic Building Height:
M i'l Mt M&
4
Name Sofia Gonzalez Name: Dennis Hogan
Address: 5311 Oleander Ave Company:.Roto Rooter Plumbing Services
City: Fort Pierce State: Address: 1901 - Green road suite H
Zip Code: 34982 Fax:-- City: Deerfield Beach State: FL
Phone No. 954-415-8378 Zip Code: 33064 Fax:
E-Mail: Nichola!5.mittoo@rrsc.com Phone No954.-415-8378
Fill in fee simple Title Holder on next page ( if different E-MaiINicholas.Mittoo@rrsc.com
from the Owner listed above) State or County License CFC 1428009
If value of construction is 2500or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name
Address:
City:
Zip:
ENGINEER: /'I- Not Applicable
Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address: ~_
City
Zip: ! Phone: —
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City: _
Zip: Phone:,
(BONDING COMPANY:
Narne:_
Address:
City:_
Zip: -__
Phone:
Not Applicable
State:
—Not Applicable
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 Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure Please consult with your Home Owners Association and review yoir 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 roorns 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 of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUN`FY
Sworn to (or affirmed) and subscribed before me of
_j_-.,f'h sical Presence or --- Online Notarization
this day of _ _ , 40#0-by
Name of person making statement
Personaily Knownt.-- 66
l
Type of Identification ,iY&;•
:`�:
NIC'HOLAS MlTT06—
Notary Public State of Florida
Produced -- --- -
-Commission k GG 922464
My Comm. Expires Oct 22, 2023
Aaei
through National Notary Assn.
(Signature of atary Publi
Commission No.(Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
j'�� ^_
Sworn to (or affirmed) and subscribed before me of
_ ysica' Presence or Online Notarization
this _,7-- day of z_ Z 22&20-by
Name of -person making statement.
Personally K.nown` nu P�fedldentification
Type of IdentificationtMr.e
NICHOLAS MITT00
Produced N��ry Public - State of Florida: Commission # GG 922464My Comm. Expires Oct 22, 2023
nde �� Nmin(Signature of Notary P
Cor,imission No. _ — (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW( REVIEW REVIEW REVIEW
MANGROVE
REVIEW
DATE
RECEIVED _ -- ----__—_.-- ---__._---
DATE
COMPLETES