HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 2103-0255
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wilding Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Water and Sewer connection with pump station
PROPOSED.IMPROVEMENT LOCATION:
Address: 6315 US Hwy 1, Ft. Pierce FL
drainfield & reconfigure well from primary water supply to irrigation only.
New Electrical Meter Second Electrical Meter
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: $ 30,000
Sq. Ft. of First Floor: NIA
Utilities: ✓❑Sewer ❑Septic Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Giant Oil Inc
Name: Alan Richard
Company: Elite Plumbing Enterprises, LLC.
Address:1806 N Franklin St
City: Tampa, State: FL
Zip Code: 33602 Fax:
Phone No.
Address: 1055 Production Drive
City: Sebring State: FL
Zip Code: 33870 Fax:
Phone No 863-981-8458
E-Mail Permitting@IEGroup.net
E-Mail: Permitting@IEGroup.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License_ CFC1428741
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 LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Infinity Engineering Group, LLC.
Name:
Address: 1806 N Franklin St
Address:
City: Tampa, State: FL
City: State:
Zip: 33602 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 your Notice of CommeaQement.
G/
Signature of Owne essee/Contractor as Agent for Owner
Signature of ract ense Holder
STATE OF LORIDA
COUNTY OF /
�;RIDA
STATE OF ,� J
COUNTY OF
Swop to (or affirmed) and subscribed before me of
!/ Physical Prese ce or Online Notarization
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Sworn to (or affirmed) and subscribed before me of
Pf—Physical Presence or Online Notarization
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known t-- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
ure of tary Public- ate of Florida )
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PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
ev.5/b/20
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