HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03-30-2021 Permit Number:
T. L I E
NOUN--r
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:40 Gal Electric Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 8317 Belfry
Property Tax ID #: 3327-701-0073-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
40 Gal Electric Water Heater
New Electrical Meter Second Electrical Meter
Lot No.70
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric Plumbing _Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 1200
_ Generator
Sq, Ft. of First Floor:
-Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dan Flynn
Name:Jason Parish
Address:8317 Belfry
Company:All City Plumbing Two Inc.
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No. 772-828-1331
Address: PO Box 880641
City: Port St Lucie State: FL
Zip Code: 34988 Fax:
Phone N0772-828-1331
E-Mail:holly@allcityplumbingtwopsl.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail holly@allcityplumbingtwopsl.com
State or County LicenseCFC1427492
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.
'cnruncry crAU HUM x Not App
Name:
Address:
City: State
ZIP: Phone
FEE SIMPLE TITLE HOLDER:
Address:
City:
ZIP= Phone:
came MORTGAGE COMPANY: x NotApplicabie
Name:
Address:
City: State:
Zip: Phone:
z Not Applicable
BONDING COMPANY
Name:_
Address:
Zip:
x Not Applicable
plicat on is hereby made to obtain a permit to do the work and installation as indicated,
OWNER/ CONTRACTOR AFFIDVfT: Ap) 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-resldential 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 nr rornrrllne .,,,., K —.;__ _t
Signature waller/Lessee/Contra arasAgentfdrOwner SIgnaturUf Contractor/License older �—
STATE OF FLORIDA STATE OF FLORIDqr•,� ) �
COUNTY OF be- be -COUNTY OF (Yl .rL�l t,�f
Sworn to jar affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
_ Physical Presence or x Online Notarization Physical Presence or X Online Notarization
this scm day of 202 6
4 y this tor^ day of Ma's 2021 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _.
Type of Identification : Type of Identification
Produ Produced
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`\`��6 •,....., Ty�� (Signature of Notary ubl ^,- Sto p�,•.•• pT �
Commission No. cP T �% • + 4 ••
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