HomeMy WebLinkAboutRoeder_ Hot water Heater _Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/01/2021 Permit Number:
LLLLL -
0
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: Hot water heater change out
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive, Unit 1510, Jensen Beach, FL 34957
Property Tax ID #: 4502-602-0144-000-2
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like Hot Water heater change out. Installing 40 -Gallon AO smith, electric, hot water heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: $ 600.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James Roeder
Name: Joseph Brownlow
Address: 9500 S Ocean Dr , Unit 1510
Company: Premier Plumbing and Air
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. n/a
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail preplbgac@gmail.com
State or County License CFC-1427780
n value or construction is e5uu or more, a MMUKDtD Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE CO PANY: _ Not Applicable
Name:
Name:
Address: N 10
Address:
City: State:
Zip: Phone
city: State:
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 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 deco for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I wili, in all respects, perform the work
in accordance with the approved plans, the Florida Building Cosies and : . 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI F COMMENCEMENT."
Signatur o wnerl Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA /
COUNTYOF ' • {-�CACI
STAi' OF FLORIDA C�e—
COUNTYOFSy.
The fcIaoing instrum t s a knowledgedfbefore me
The f��g�ing instru n� has Tknowledged pefore me
this day of 20�1 by
S �b �� �v
this L day of j�Jl�, 20 I by
c' S lrou o D o')
Name of persoh making statement.
Name of person aking statement.
Personally Known X OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ture of Notary Pu "' •.F
Commission # GG 208194
Commission No. `:•. .`op°`` Ex 17,2022
BoMBd � Troy Fain hosance $0o-38S7
gna ure of Notary Public- S e of lor4a' Q-., APRILBRUfiALEY
Commission # GG 208194
mmission No. =.; s 17,2022
I
1 :F of F4;Sonded Thu Troy fain
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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