HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/2/21 Permit Number:
o U ;'
I� 0.1117
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 181 SE Serenata CT
Property Tax ID#: 3419-540-0134-000-2 Lot No.30
Site Plan Name: Block No. 46
Project Name: River Park
DETAILED DESCRIPTION OF WORK:
Basic installation 40 gal w/h with misc piping,main shut off,ball valve and misc piping Elimating solar system to w/h,snake&drain launrdy tub
repipe kitchen sinkdrain, replace angle stop and hook up dw
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 X.Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,800.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameZamary Laguer Name:David Spalding
Address:181 SE Serenata CT Company:The Plumbing Works Inc
City: Port St. Lucie State: F,L Address:3473 SW Europe ST
Zip Code: 34983 Fax: City: Port St. Lucie State:FL
Phone No.772-323-8824 Zip Code: 34953 Fax:
E-Mail: Phone No 772-336-7272
Fill in fee simple Title Holder on next page(if different E-Mail theplumbingworksinc@gmail.com
from the Owner listed above) State or County License CFC 1428419
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:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: i 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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S} Lucie COUNTY OF S uc',c-
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S orn to(or affirmed)and subscribed before me of S orn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization -A Physical Presence or Online Notarization
this�day of�M&A 2024 by this�day of 2020 by
Name of person making statement. Name of person making s atement.
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State o or BRENDA R.DEC "Signa re of Notary Public-State of BRENDA R.DECARI
:'r°�• �• Notary Public State f Florida 4• r`�'_ Notary Public•State f orida
Commission No. GG 310775 Commission#GG I(ul m Sion No. GG 310775 a �) Commission GG1137520
oFrQ.; My Comm.Expires J 1,2023 ''�c My Comm.Expires J I 1 2023
Bonded through National N tary Assn. Bonded through National N t Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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