HomeMy WebLinkAboutOverstreet - Permit, SIgned & NotarizedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-22-2020 Permit Number:
S"n Ll1�LL
L- e ` `' Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:OVERSTREET, JAMES & CONNIE
PROPOSED IMPROVEMENT LOCATION:
Address: 6004 FORT PIERCE BLVD FORT PIERCE FL 34951
Property Tax ID #: 1302-810-0076-000-0
Site Plan Name: LAKEWOOD PARK ADDITION NO 1- BLKD LOT 1 (OR 858-992)
Project Name: OVERSTREET
I DETAILED DESCRIPTION OF WORK:
Remove existing water heater on the floor in the
and install a new 50 gallon AeroThermO Series Heat Pump water heater.
New Electrical Meter Second Electrical Meter
Lot No. 1
Block No. D
I CONSTRUCTION INFORMATION: I
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: $ 675.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES & CONNIE OVERSTREET
Name: JAMES M AGER
Address:6004 FORT PIERCE BLVD
Company: PLUMBING BY BISHOP '
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.772-216-5389
Address:2606 SE WILLOUGHBY BLVD
City: STUART State: FL
Zip Code: 34994 Fax: 772-286-1412
Phone No 772-286-5872
E-Mail: GOLDCOASTTRANS@MSN.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PLUMBINGBYBISHOP@COMCAST.NET
State or County License CFC-1429566
If value of constructions 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ✓ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 int d to obtain financing, consult
with lender or an attorney before commencing work or record ingAbo a of Commencement.
igna re of Owner/ Lessee/Contractor as Agent for Owner
Signatu actor/License Ho
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
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
this 22ND day Of DECEMBER 2020 by
LhiS 22ND day of DECEMBER 2020 by
JAMES OVERSTREET
JAMES M AGER
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced -ID
Produced
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