HomeMy WebLinkAboutParker_ Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/27/2021 Permit Number:
S11LcLL
10
- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORMater heater change out
PROPOSED IMPROVEMENT LOCATION:
Address: 8880 S Ocean Drive, Unit 603, Jensen Beach, FL 34957
Property Tax ID #: 3535-602-0047-000-1
Site Plan Name: n/a
Project Name: n/a
Residential x
DETAILED DESCRIPTION OF WORK:
Like for Like Hot water heater change out. Installing 50-Gallon, electric AO Smith hot water heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Lot No._
Block No.
Windows/Doors _ Pond
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 650.00 Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Parker
Name: Joseph Brownlow
Address:8880 S Ocean Dr, Unit 603
Company: Premier Plumbing and Air
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No.772-342-1149
Address: 108 NE Dixie Hwy
City: Stuart State: FL
Zip Code: 34994 Fax: 772-692-1094
Phone No772-692-2500
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 LicenseCFC-1427780
it value or consiruciion Is /buu or more, a KELUKUW Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGN
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Cite: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:
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, bvlaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review,., your deeo for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby a,.g ee that I will; in all respects, perform the work
in accordance with the approved plans, the Florida Building Cedes anc.' Ducie 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
WrrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE -OF COMMENCEMENT."
Signatur o wnerj Lessee/Contractor as Agent for Owner
STATE OF FLORIDA j J �nl�
COUNTY OF -j' h C.
The forging instrume was ackl owledged before me
this a% day of 20; i by
Name of persoA making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary PuT'.o
Fu�rT
Commission#GG208194
li pA 17,2022
Commission No. ..,,- royPpn r�nce
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
, VIL_ ) " /
Signature of Contractor/License Holder
STAVE OF FLORIDA Z (e r��
COUNTY OF U7
The forg ing instrument as ek owledgedpefore me
thisay of 20� by ll
5 if . �- L�al1 b C'J
Name of person 6aking statement.
Personally Known _ OR Produced Identification
Type of Identification
Produced
ignalure of Notary Public-
mmission No.
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Commission # GG 20!?
I April 17,2022
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW