HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/12/21 Permit Number:
LUUE
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 Changeout
PROPOSED IMPROVEMENT LOCATION:Garage
Address: 9320 Scarborough ct Port St Lucie FL 34986
Property Tax ID#: 3322-507-0016-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Removed and replaced 80 Gallon Electric water heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: --- l
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: $ 2450 Utilities: _Sewer _Septic Building Height:
OWNER/ £SSEE: CONTRACTOR:
Name Fedrick Francis Name:Dennis Hogan
Address:9320 Scarborough ct Company:Roto Rooter Plumbing services
City: Port St Lucie State:L L Address:1901 Green Road
Zip Code: 34986 Fax: City: Deerfield Beach State:FL
Phone No.954-415-8378 Zip Code: 33064 Fax:
E-Mail:nicholas.mittoo@rrsc.com Phone No954-415-8378
Fill in fee simple Title Holder on next page ( if different E-Mail nicholas.mittoo@rrsc.com
from the Owner listed above) State or County License cfc1428009
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.
1.
DESIGNER/ENGINEER: X—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: 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 recording our Notice of Commencement.
Qom-- `De.:, �—�—
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF v -<L' - E COUNTY OF ��`� �
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or - Online Notarization Physical Presencg or Online Notarization
this /�)— day of 2020 by this lo�- day of jf7 2020 by
Name of person making statement. Name of person making statem
Personally Known L-' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary (Signature of Notaryu, o; t ite of FN14t1 MITT
N"1— M1700
Notary Public-State of Florida �•; Notary Public• fate of Florida
;;
Commission No. CommisV*4d ,G 922464 Commission No. CommisE 1#G 922 ,2
t: r ,,, Y Comm.E> ;t 22,2023
av moo: My Comm.Expires Oct 22,2023 Bonded through National Notary Assn.
ded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20