HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:all Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential yes
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electric Water Heater Change Out
PROPOSED IMPROVEMENT LOCATION:
Address: 7700 Pine Lakes blvd Port st Lucie FL 34954 UNIT#229
Property Tax ID #: 3422-596-0007-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAFLED I ESCE;IPTLIOiU Car WORK:
Replaced 40 Gallon Electric 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 _ Windows/Doors _ Pond
_ Electric k Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 0' n —C>00 Utilities: —Sewer Septic Building Height:
'.RACTOR: - - -
NameBR Carroll ST Lucie LLC Name:Dennis Hogan
Address:7700 Pine lakes blvd Company: Roto Rooter Plumbing services
City: Port St Lucie State: _ Address:1901 Green road suite H
Zip Code: 34952 Fax: City: Deerfield Beach State: FL
Phone No.954-415-8378 Zip Code: 33064 Fax:
E-Mail: Phone No954-415-8378
Fill in fee simple Title Holder on next page { if different E-Mail Nicholas.mittoo@rrsc.com
from the Owner listed above) State or County License CFC1428009
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.
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
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 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 our Notice of Commencement
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF 3ra
STATE OF FLORIDA
COUNTY OF 1&-a
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
yslcal Presence or Online Notarization
this ay of �! 2020 by
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Knowny OR Produced Identification
Personally Known ---'OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notar �hIL- �r��ccf�rrL— L _
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(Signature of Notary Pu on 1�OLAS MPf'f00
s ., NICHOLAS MITT00
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Commission No. 'r/^.`. Notary Publie of Florida
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Commission No. Corrres 22, 2023
a; Commiss� n 922464
Comm. Expires Oct 22, 2023
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