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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/26/2021 Permit Number: �J Lo LiL —5 Building Permit Application Planning and development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: PLUMBING PR€3POSE© IMPROUEME,! -T "LOCATION. Address: nui4 Silver uaK Ur tort Fierce, FL 34982 Property Tax ID #: 3402-607-0146-000-1 Site Plan Name: Project Name: Replace electric Water Heater 50 gals in house New Electrical Meter _ Second Electrical Meter Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping Shutters _ _ Electric Plumbing Sprinklers _ Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1195.00 Utilities: Sewer Lot No.15 & 16 Block No. 19 Windows/Doors , Pond — Roof Pitch _ Septic Building Height: OWNER ESSEE. CONTRACTOR; Name Michael Manville Name:Anthony Fioretto Address:6014 Silver Oak Dr Company: Quality Plumbing & Drains City: Ft Pierce State: r L Address: PO Box 1466 Zip Code: 34982 Fax: City: Port Salerno State: FL Phone No. 772-285-4551 Zip Code: 34992 Fax: E-Mail: Phone N0772-220-7577 Fill in fee simple Title Holder on neat page (if different E-Mail info@gpd.plumbing State or County License CFC1430284 from the Owner listed above) .. —.— vw G.iW VI 111SIM, n F%CL.%JiCVCI.7 notice or Larnmencemenc is requireu. If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone 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 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 attornev before commenciniz work or recording vour Notire of CnmmPnrPmPnt X ) ignature of Owner/ Le see/Contractor as Agent for Owner Signature of Contractor/Licen a Holder STATE OF FLORIDA COUNTY OF b—L wQ STATE OF FLORIDA S� Z)t7 COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Ph sical Presence or Online Notarization this _day 204 by Ph sical Presence or Online Notarization of ,�g CtICM�4-- C" this ay of A— 202t b �� FTf'l�ta Name of person making st ment. Name of person making statemdfit. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificapin Produced 0L_ Eura).d_�� Produced I-(- , ?A/0-t (Signature of Notary Publi ate of Florida) (Signature of Notary Public- State of Florida ) Commissi `2 flYPU iEllVAU = tale of Florida-Notar N�AUGFiN CommissiFF: Con Y Public=Sda-Not . REVIEW GC10 mission Expire 2 ERVISOR JSIEVIEW 9ic�FLOP�� M PLANS NOc GG 27o ,cp� n 007 obg res ANGROVE COUNTER R REVIEW REVI REVIEW DATE RECEIVED DATE COMPLETED Rev. 0