HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/22/2021 Permit Number: c o lX
RECEIVED
Building Permit Application pp on MAR 2 2 2011
Planning and Development Services
ittir.g
Building and Code Regulation Division Commercial Resid-enb4i ir,,.;,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Plumbing
:PRQPOSED ,IMPROVEMENT:LOCATfON. >..
Address: 5502 Myrtle Dr Fort Pierce, FL 34982
Property Tax ID#: 3402-609-0107-000-2 Lot No.9
Site Plan Name: Block No. 55
Project Name:
Whole House Re-Pipe with Uponor Pex Pipe in walls of fixtures&attic for two (2)bathroom
New Electrical Meter Second Electrical Meter
CONSTRUCTI'ON.'INFORMATION
Additional work-to-be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric -J�Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq.Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ MOO .— Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE CONTRACTOR:'
NameLatrissa S Obryant Name:Anthony Fioretto
Address:5502 Myrtle Dr Company:Quality Plumbing & Drains
City: Fort Pierce State:_ Address:PO Box 1466
Zip Code: 34982 Fax: City: Port Salerno State:FL
Phone No.772-985-4282 Zip Code: 34992 Fax:
E-Mail: Phone N0772-220-7577
Fill in fee simple Title Holder on next page(if different E-Mail info@qpd.plumbing
from the Owner listed above) State or County LicenseCFC1430284
If value of construction is 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, LAWINFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Less a/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFV, COUNTY OF
Swop to(or affirmed)and subscribed before me of Swopfi to(or affirmed)and subscribed before me of
sical Presence or Online Notarization ✓ Physical Presence or Online N tarization
this day of 202p by this day of 202 by
"'W�VIN F- 1 n tlZ�76 ra,
Name of person m ing statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi I Type of Identifica
Produced Produced D
(Signature of Notary Public-State of Florida) (Signature of No ry ,p
,,PPYP�J. A EN S. NIELSEN
KAREN S. � I�SEN =_° =State of Florida,Atnnary public
Commission N ,��PYPv�4 - �G]7r
a Florida o ry Public Commission No. ale P` mission 207484
-* Commission # GG 207484 o,F�o�,� My CJunmi—ion Expires
nnn
,,OF ," June 12, 202
REVIEWS ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.5/6/20