HomeMy WebLinkAboutBuilding Permit Application FEB-22-2021 14:16 FROM:ACE PLUMBING, INC 7725678494 TO:17724621578 P.1/3
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: - =d5 z
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Building Permit Applieatia sr. Lucie County, pe►mitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue,Fort Pierce rt 34982
Phone:(772)462-1553 Fax;(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address; 7002 Fort Walton Road
Property Tax lD#: 1301.612-0168-000-1 Lot No.4
Site Plan Name: Block No. 126
Project Name:
DETAILED DESCRIPTION OF WORK:
Fumish and installed 40 gallon electric hot water heater 4500 Watt
New Flectriral Meter Second Flectricai Meter
CONSTRUCTION INi=ORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Pond
_Electric ! Plumbing ,-,Sprinklers r„Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction;$ [7 Utilities: Sewer _Septic Building Height:
OWNER ESSEE: CONTRACTOR:
NameG and G Nursery Inc Name•Daniel Washburn
Address:PO Bo 420 Company:Ace Plumbing,Inc.
City; Lesage State: Address;6654thPlace
Zip Code;25537 fax; City: Vero Beach State:F!
Phone No.1.304-544.3084 Zip Code: 32962 Fax: 667-8494
E-Mail: Phone No`o62-3780
Fill in fee simple Title Holder an next page(if different E-Mailace.plumbing@comcast.net
from the Owner listed above) State or County UcenseCFG032636
If Value of construction Is Z500 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.
FEB-22-2021 14:16 FROM:ACE PLUMBING INC 7725678494 TO:17724621578 P.2/3
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name,
Address: Address:
City. State: City: Stater
zip; Phone zip:-Phone:
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 ppermit will authorize the permit holder to build the subject structure
which is in Conflict with an 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
wit ender or an attorney before commencing work or recording our Notice of Commencement.
sig ature of wner/Lessee/Contractor as Agent for Owner nature o Contractor/License Holder
STATE OF COUNTY OFgJI _` " COUNTY STATE
OF R a i
orn to(or affirmed)and subscribed before me of yrn to(or affirmed)and subscribed before me of
Physical Prey a or Online Notariz;Von Physical Pr nce or Online Notarization
thi day of � „�,20Z0 by this day of 2020 by
ame of person making Statement. Name of person making statement.
Personally Known J(OR Produced Ida ifr' Personally Known OR Produced Identiflc ors
Type of Identification V; ' Type of Identlflcatlon T
duced
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(Signs ure of Notary Public-State of Florida) }� , u „ (Signs re of Notary Public-State of Florida) a ;
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Commission Noai lk4l (Se 13 n w" Commission No.���} (Seal) N
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REVIEWS FRONT ZONING S'LlplhVI R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RWIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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