HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1.19.2021 Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential XXXX
PERMIT APPLICATION FOR: Plumbing --Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 9413 Pinebark CT
Property Tax ID #: 1327-801-0047-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install Like for Like 50g Electric Water Heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 158
Block No.
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:
Cost of Construction: $ 800
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth Wroe
Name: Manuel Joseph Duran
Address: 9413 Pinebark CT
Company: First Choice Plumbing Solutions
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. (772) 332-3644
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
u value yr cvnstruwon is zDuu or more, a KMUKUtU Notice of 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 Appl
Name:
Address:
City: State:
Zip. one
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: —
Address:
City:
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 youl�Woperty. A Notice of Commencement must be r ded in the public records of St.
Lucie County and postdol pn the jobsite before the first inspection. If you Intend to obtain financing, consult
with lender or an att '_before commencin work or recordin our_Notice of-Car>�mence I . _ ment.
Signature of pwner/ Itiessee/Contractor as Agent for owner
STATE OF I=LORID.4
COUNTY OF
Signature
STATE OF FL RI A
COUNTY OF '�
rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
hysical Presenc or Online Notarization •Physical Presence or Online Notarization
this day of 202if by this /� day of e, 2020 by
r—_
Name of person making statement. Name of person making statement.
Personally Known `� OR Produced Identification
Type f Identification
Produced
t b
(Signature of Ory PuJt(i h§t%A rida )
v, NOTARY PUBLIC
Commission VCTeTc
Comm# GG185914
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known N"_ OR Produced Identification
Type of Identification
(Signature of
NOTARY PUBLIC
Commission Noo OF FLOR&al)
Comm# GG 185914
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW