HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/26/2021 Permit Number:
LEI cLL -�
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 FORMater heater changeout
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Dr, Unit 1110, Jensen Beach, FL 34957
Property Tax ID #: 4502-602-0104-000-0
Site Plan Name: n/a
Project Name: n/a
DETAILED DESCRIPTION OF WORK:
Like for Like Hot water heater changeout. Installing 40-Gallon Rheem , electric, water heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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: $ 600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charlene Mady
Name:Joesph Brownlow
Address: Cecilienalle 74
Company: Premier Plumbing and Air
City: Duseldorf 40474 Germany State: _
Zip Code: Fax:
Phone No.772-773-2972
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No 772-692-2500
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail preplbgac@gmail.com
State or County License CFC- 1427780
it value or construction is isuu or more, a Rt(:URDED 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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DESIGNER/ENGINEER•%�
_ Not Applicable
MORTGAGE COMPANY-
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
Cite:
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 deep for any restrictions which may apply.
In consideration of the granting of this requested permit. I do hereby agree 'hat i will; in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and' 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC"F COMMENCEMENT."
Sign atu rvo�wwn e rl Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF h C�
The for ding instru n was ' cknowledge�i pefore me
this day of V1 i 20 _/ by
S lrou low
Name of persoh making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pu FuM�r
11"....Commission # GG 208194
Commission No. �`,•= Ex 11,2022
...;- M.M.My File IMW.
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Thefgrgq'ng instru nt was a knowledged �efore me
this ay of /% 20 .; by ll
Name of person i1making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
ignajure of Notary Public -
mission No.
ICidAPRIL BRUMLEY
,:
Commission # GG 208
' i Expires April 17, 2022
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ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW