HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/26/2021 Permit Number:
Ll �v,, LucE. E,
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
PROPOSED IMPAOVEltl)EkT W+ poi
Address: ou14 Silver uaK ur tort Pierce, FL 34982
Property Tax ID #: 3402-607-0146-000-1
Site Plan Name:
Project Name:
Whole House Re -Pipe in aftic & walls of fixtures on a two bathroom home. Plumb in Uponor Pex Pipe
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
Total Sq. Ft of Construction:
Cost of Construction: $ 9200.00
_ Sprinklers
_ Generator
Lot No.15 & 16
Block No. 19
_ Windows/Doors Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: _ Sewer —Septic Building Height:
OWNER/LESSEE:
` CONl"RACTt;1Ft:
NameMichael Manville
Name:Anthony Fiorefto
Address:6014 Silver Oak Dr
Company: Quality Plumbing & Drains
City: Ft Pierce State: FL
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 No772-220-7577
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
wlfabf Yf.f.f-ff N Wu of 11"im' a fi%",Unueu 1vol" OT LOmmencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: —
Name:
Not Applicable
MORTGAGES COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _
Not Applicable
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BONDING COMPANY:
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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 Commencement.
of owner/ Lessee/Contractor as Agent for Owner I Signature of
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF 11*_A' LAj - ckk I COUNTY OF S�
Sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this day of 2021_by
Name of person making st ment.
Personally Known OR Produced Identification
Type of Identification QC_
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(Signature of Notary Publi"ate of Florida )
Sworn to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
this INay of Q.p A 202(� by
Name of person making statemdfit.
Personally Known OR Produced Identification
Type of Identifica i n
_Produced (_ p
(Signature of Notary Public- State of Florida )
Lommissi VAU Commissi
a yc. rate of Florida -Notary public _ r_MTVAUGHN
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Commission =* = lorida-Not
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REVIEW �-=1° ? w S PERVISOR PLANS NOc o'y res ANGROVE
COUNTER R EVIEW REVIEW REV REVIEW
DATE
RECEIVED
DATE
COMPLETED