HomeMy WebLinkAbout6102 Balsam DrAll APPLICABLE INFO MUST BE COMPLETED FOR APPU71ON TO BE ACCEPTED
Date: 04.12.21 Permit Number:
9 lT.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division CO
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
rcial Residential xxxx
PROPOSED IMPROVEMENT LOCATION:
Address: 6102 Balsam Dr
Property Tax ID #: 3402-610-0547-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTIONOF WORK:
Like for like-- Install 40g electric in attic
New Electrical Meter Second Electrical Met r
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — c
_Mechanical _ Gas Tank —Gas Piping
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 800 Ui
all that apply:
Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
s: —Sewer _ Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name Melissa D Bower
Name:Joseph Duran
Address:6102 Balsam Dr
Company: First Choice Plumbing Solutions
City: Fort Pierce State:
Address:1943 SW Biltmore Street
City: Port St. Lucie State:FI
Zip Code: 34984 Fax:
Phone N0772.879.1414
Zip Code: 34982 Fax:
Phone No.772.332.0762
E-Mail: amd.schmid@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail firstchoiceplumbingsoltions@gmail.com
State or County LicenseCFC1427369
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 C mmencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 tot 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 Associationand 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 Notic of Commencement may result in paying twice for
improvements to your proNotice of Co mencement must be recorded in the lic records of St.
pert.
Lucie County and posted o obsite before t e first i ction. if you intend t ' financing, consult
w;+k_Janr�nr nr on nttnrnav haf ra mmenrina ork nr rpror vour Notice Of Commcement.
r
Signatu of Owner/ Lessee/Copt cto as Agent for Own r
Signatur of Contractor/Licens H er
STA E OF FLORIDA
STATE IDA
COU OF 757r.Lac
COUNTY OF el
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
\-,- Physical Presence or Online Notarization
_>tf
this L_ day of t L 2026 by
this /;? day of a PA r z_ 2020 by
Name of person making statement.
Name of person making statement.
Personally Known / OR Produced Identification
Personally Known ' OR Produced Identification
Type of Identification
Type of Identification
Produce —
Produced _
Sig re of Notary Public- State of Florida)
igna a of Notary Pub ic- State of Florida )
"C
Com iSSIOn No. otaryPub� o ida
ary Public State of
Commission Lynde adley}
�Exvim
Lynda A Hadley
Commission GG 284432
My Commission GG 284432
1211
a
Expires
REVIEWS
F
R
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20