HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/3/2021
Permit Number:
—
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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:Water Heater Installation
PROPOSED IMPROVEMENT LOCATION:
Address: 530 European Lane
Property Tax ID #: 3410-503-0210-000-7
Lot No. 21
Site Plan Name: Block No. G
Project Name: Palm Grove S/D
DETAILED DESCRIPTION OF WORK:
Basic install of 40 gal ele w/h , shut off valve and misc piping
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 _ Windows/Doors _ Pond
_ Electric Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: 1,150.00 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jon Cummings
Name: David Spalding
Address:530 European Lane
Com an The Plumbing Works Inc
p y�
Fort Pierce
City: State:
3473 SW Europe ST
Address: p
Zip Code: 34983 Fax:
City: Port St. Lucie State: FL
Phone No.772-342-2625
Zip Code: 34953 Fax:
E-Mail:
Phone No772-336-7272
Fill in fee simple Title Holder on next page ( if different
E-Mail theplumbingworksinc@gmail.com
from the Owner listed above)
State or County LicenseCFC1428419
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ut511GNER/ENGINEER:
Name:
Address:
City:
Zip: Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co 1 lict 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.
Signature ref O'wner/ Lessee/Con ractor as gent for Owner Signature of Contractor Cie o er -"�-
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �j J=. y_ COUNTY OF_53r.kAkC%e
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 3` day of lyAy 2026 by
Name of persoh making sfatement.
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this Yrday of _ _ _ 2020 by
�V►� SDa.�cii �U
Name of person making statement.
Personally Known X_ OR Produced Identification Personally Known X_ OR Produced Identification
Type of Identification Type of Identification
Produced Produced /1
(Signature of Notary Public- State Fl �d •� Si n ure of Notary a ��. BRENDA R. DECa ( B ry Public State of gr
Notary Public State o Florida : 1r� BRENDA R. DEC)
Commission No.GG 31b?75 '?°• �' Notary Public State
`) Commission yGG 310Z9�m 'ssion No. GG 3�0% 7 =a l) Commission #GG 3
My Comm. Expires Jul 1, 2 23
g? ov c��: ` My Comm. Expires Ju
Bonded through National Notary assn, _ Bonded through National Nt
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