HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: 04/13/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:'(772)462-1578
PERMIT APPLICATION FOR: PLUMBING
P",ROPQSED lfV1PROVEMENT"LOCATION
Address: 8418 Belfry PI Port St Lucie, FL 34986
Property Tax ID#: 3327-701-0018-000-4 Lot No.
Site Plan Name: Block No.
Project.Name:
OETAI-LED DESCRII?TlON OF 1NC�R,K f.Whole house re-pipe wl Uponor Pex Pipe in attic&walls of fixtures in a two bathroom home
New Electrical Meter Second Electrical Meter
CONSTRL!tlION INFORIl/IATI N 4
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
—Electric X Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 9875.00 Utilities: —Sewer _Septic Building Height:
`OWN'ER/LESSEE '` "' 'CONTRACTOR
Name George J Townley Name:Anthony Fioretto
Address:8414 Belfry PI Company: Quality Plumbing &Drains
P
City: Port St Lucie State: FL Address: PO Box 1466
Zip Code: 34986 Fax: City: Port Salerno State:FL
Phone No.206-484-8757 Zip Code: 34992 Fax:
E-Mail: Phone N0772-220-7577
Fill in fee simple Title Holder on next page(if different E-Mail info@gpd.plumbing
from the Owner listed above) State or County License CFC1430284
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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SURPLEMENTAL CONSTRUCTION LIEN"LAW IRIEORMATION
/ _ - App MORTGAGE COMPANY: Not Applicable
DESIGNER ENGINEER: Not A licable a
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER:_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.
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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 our Notice of Commencement.
ignature of Owner/Le see/Contractor as Agent for Owner Signature of Contractor/Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF z5t LA_A_U-Z COUNTY OF LkL (.X . —
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph sical Presence or Online Notarization Ph sical Presence or Online Notarization
this_day of in 202gLby this Ph
of A 202�b
G f4__1 7 1�. ,
Name of person making st ment. Name of person making staterneffit.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identific on Type of Identifica Vin
Produced �_ Produced (
(Signature of Notary Publi ate of Florida) (Signature of Notary Publie of Florida)
CommissiEl I pm t/ U Commissi
_. tate of Floridallotary Public 4UGHN
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_y State Of FloridaFlori
aec Commissi L-orron _ tr_ d -Nola
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Octo mission Expire %,OFFIOP My C on GG 27007
REVIEW 2 S PERVISOR PLANS 0N0c o ' res ANGROVE
COUNTER RE EVIEW REVIEW REVI REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S 20
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