HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a� Permit Number:
llo [LUME 4 � RECEIVED
NV*m
° `° p Building Permit Application JAN 2 0 2021
Planning and Development Services Permitting Departmun,
Lu
Building and Code Regulation Division Commercial Residential St, Xcie Count,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: PLUMBING
PROPOSED 1MPRQVEMENT COCATIQN
Address: 8230 Maidencane PI, Port St Lucie FL 34952
Property Tax ID #: 3426-703-0136-000-7 Lot No.122
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION°OF WORK.
Whole house Re -Pipe in attic, behind walls to fixtures in Uponor Pex Pipe
New Electrical Meter Second Electrical Meter
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: $ 9000.00 Utilities: _Sewer _ Septic
Building Height:
ES r
CONTRACTOR: V
CO
NameNick Wood
Name:Anthony Fioretto
Address:8230 Maidencane PI
Company: Quality Plumbing & Drains
City: Port St Lucie State: F'(-
Address: PO Box 1466
Zip Code: 34952 Fax:
City: Port Salerno State: FL
Phone No. 772-834-7433
Zip Code: 34992 Fax:
E-Mail:
Phone No772-220-7577
E-Mail info@gpd.plumbing
Fill in fee simple Title Holder on next page (if different
State or County License CFC1430284
from the Owner listed above)
vauC U, cunauuLsiun ns cauu or more, a KrLUKutu ivotice oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SU1?PLEMENTAL CO�NST,RUCTI N LFEN LAW lNFC?RMAT(0N•
n ° '4 � r
_2
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Applicable
Name:
Name:
Address:
Address:
JAN 2 A 7Q?'
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
sF '7 9 Department
Y
FEE SIMPLE TITLE HOLDER:
_ 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 attornev before commencing work or recording vour Notice of Commencement.
Signature of Owner
as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLOR DA
COUNTY OF =-V . 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 Presence or Online Notarization
this61-0 day of Z0,-V1 , 202k by this a6 day of 202q by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification I Personally Known
Type of Identification Type of Identification
Produced-) T-L .4D \— !1 Produced — r— %—
OR Produced Identification
(Signature of Notary N I ELS EN
A
(Signature of Notary Public- State of Florida
11�Y PV6°/
_20 State of Florida Notary Public
Commission No. _ •= Commis elal GG 207484
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��"" ., KAREN S. NI S N
RYP°/
Commissionra,
� My Commission Expires
f��� June 12, 2022
lorida Nof�ablice
,�OF
.� Commission # GG 207484
Commission Expires
June 12, 2022
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