HomeMy WebLinkAboutCorrected Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/21 Permit Number:
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- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: i Electric Water heater 40 Gallon Changeout
PROPOSED IMPROVEMENT LOCATION:closet
Address: 8379 Mulligan Circle Unit A and B Port St Lucie FL 34986
Property Tax ID #: 3327-502-0224-000-0 Lot No.
Site Plan Name: Block No.
Project Name:.____....___.._
_
DETAILED DESCRIPTION OF WORK:
Removed and Replacec Electric 40 Gallon water heaters
New Electrical Meter Second Electrical Meter
CoNSTUIMTIQN 1NFQRCUTATIo€:
.:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping Y Shutters _ Windows/Doors _ Pond
Electric >,� Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2000 _ Utiliti s: —Sewer _ Septic Building Height:
CONTRACTOR;
Name Jeffery Greene Name: Dennis Hogan
Address:12093 SW Aventino Drive Company: Roto Rooter Plumbing
City: Port st Lucie State: _ Address:1901 Green Road Suite H
Zip Code: 34987 Fax: City: Deerfield Beach State:
Phone No.954-415-8378 Zip Code: 33064 Fax:
E-Mail: Nicholas.mittoo@rrsc.com Phone No954-415-8378
Fill in fee simple Title Holder on next page ( if different E-Mail nicholas.mittoo@rrsc.com
from the Owner listed above) State or County License cfcl 428009
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.
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DESIGNER/ENGINEER: Not Applicable
Name:
Address:
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MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
Zip:
Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zi p:
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 wurk
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exemptfrom 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 your Notice of Commencement.
Q� N-1 V
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
SwXn to (or affirmed) and subscribed before me of
P ysical Presence or Online Notarization
Ph sical Presence or Online Notarization
this day of i✓l� 262& by
this _ ay of 2448 by
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Name of person making staternere
Name of person making statem
Personally Known C,-'- OR Produced Identification
Personally Known &- � OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
(Signature of Notary . f Flori OLAS MITT00
(Signature of Notary MI7roo
1 Notary Public • State of Florida
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Commission No. GG 92246a
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