HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �`�d`a� Permit Number:
�1r
BI
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
AN 2- 0 2021
Iding Permit Application PermittingDepartment
St. Lucie County
Commercial Residential X
PERMIT APPLICATION FOR: PLUMBING
P,R,OPOSED IMV kQVEMENT LOCATION
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
Replace 40 gals gas water heater in 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 _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 1495.00 Utilities: —Sewer _Septic
Building Height:
OUVNER/LESSEE , '
"CONTRACTOR: ' f
...
Name Nick Wood
Name:Anthony Fioretto
Company: Quality Plumbing & Drains
Address:8230 Maidencane PI
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-Mailinfo@gpd.plumbing
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CFC1 430284
it vague or construction is zsuu 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.
SUPREME NTAL` CONSTRUCTION LIEN LAW INFORMATIO-N.. REGEIVEp,
.,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: JAN N(9t Applicable
Name: Name:
Address: Address: se, apartment
City: State: City: tote:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:
Zip:
Phon
OWNtR/ 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 yoLa Notice of Commencement.
I U'L__�L � I a TI-1-1
Signature of Owner
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day ofy0.^r> 202k by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced �-L. 4D �—
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
Contractor/License Holder
STATE OF FLORDA
COUNTY OF � - LxL ®�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this '-X.a day of T4v-*- 202q by
Y'sV,4lNbry yid�'3t 6
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced IF L
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 516/20