HomeMy WebLinkAboutBuilding Permit Application iAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED {� qI
Date: 5/4/21 Permit Number: f 5.v 1 (9
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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
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Address: 9977 PERFECT DR 99 Fort Pierce, FL 34951
Property Tax ID#: 3327-703-0051-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Water heater
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Remove and replace 50 gallon water heater Aerosmith
New Electrical Meter Second Electrical Meter
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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: 1321 Sq. Ft. of First Floor: 1321
Cost of Construction:$ 750.00 Utilities: —Sewer _Septic Building Height: 8'
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Name Cadet Frances Name:Eric Foster
Address:3102 SW Ann Arbor RD Company:Cavalier Plumbing
City: Port St Lucie State: FL Address:2993 SE Orange Tree Place
Zip Code: 34953 Fax: City: Stuart State.FL
Phone No.772-480-0883 Zip Code: 34997 Fax: 772-907-0420
E-Mail: Phone No 954-934-4056
Fill in fee simple Title Holder on next page(if different E-Mail cavalierplumbing@outlook.com
from the Owner listed above) State or County License CFC1426743
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.
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DESIGNER/ENGINEER: ✓Q.Not Applicable MORTGAGE COMPANY: ✓� Not Applicable
Name: N/A Name:N/A
Address: / Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓_Not Applicable BONDING COMPANY: Not Applicable
Name:N/A Name:N/A
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 recordin _ our_Not'ce_of.Commencement.
Signature:nFLORIDA
ner Lessee/Contractor as Agent for Owner Signature of Con r License o der
STATE O STATE OF FLO (DA
COUNTY OF St Lucie County COUNTY OFFS Lucie County
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
❑✓ Physical Presence or Online Notarization 0✓ Physical Presence or Online Notarization
this 5th day of May ,2021 by this 5th day of May 2021 by
Eric Foster Roderick Waller
Name of person making statement. Name of person making statement.
Personally Known�_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State of Florida) (Signature of Notary P �
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Commissi � ►o,*F bitsla11�of Woeal Commission No. � � � Ertc��
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—:—.:SUPERVISOR WRING PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20