HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: June 7, 2021
Permit Number.
T L CIE
Nou ^may
F T.
O R I A -
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMITAPPLICATION FOR: PJUmbrng
PROPOSED IMPROVEMENT LOCATION:
Address: 8100 Hidden Pines Rd
Property Tax ID #: 2323-701-0001-000-7
Site Plan Name: HIDDEN PINES ESTATES
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 50 Gallon Hot Water Heater Electric in Laundry Room
Lot No. LOT 1
Block No. BLK A
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:
Sq. Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Wanda F Chesnut
Name: Manuel Joseph Duran
Address: 8100 Hidden Pines Rd
Company: First Choice Plumbing Solutions
p Y�
City: Fort Pierce State: _
Address: 1943 SW Biltmore St
Zip Code: 34945 Fax:
City: Port Saint Lucie State: FL
Phone No. (772) 216-1336
Zip Code: 34984 Fax:
E-Mail:
Phone No 772.879.1414
Fill in fee simple Title Holder on next page (if different
E-Mail Firstchoiceplumbingsolutions@gmail.com
from the Owner listed above)
State or County License CFC1427369
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
Name:
MORTGAGE COMPANY: � Not Applicable
Address:
Name:
City:
Address:
State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: —Not Applicable
Address:
Name:
City:
Address:
Zip: Phone:
City:Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that noywork or installation has commenced prior to the issuance of a permit.
St. Lucie
no
which is nc County
with anrepresentation applicable Hom thatis
Asssocing a 3 Association permit rules, will
by aws ohorize r and permit
thto at mayrestrictor 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 a er non-residential use
WARNING TO OWNER: Your fa' ure to Record a Notice of Commencement may result in pay ice for
improvements to r �jO
A Notice of Commence t must be recorded in the lic records of St.
Lu County and paste bsite before the first inspec ' if you in#end to obta' fi ncing, consult
with er or an attor a commencin work or recordin r Notice of Commence nt_
5ignat�e of
ST,4TE OF FE
C04JNTY OF
Agent for Owner
Sworn to or a firmed) and subscribed before me of
X Physical Pr es nce or Online Notarization
this 7 day of 202JZ by
Signatiyr�e of Contractor/Licen Holder
STE OF FLORIDA
CO OF S 1
Sworn tb'(or affirmed) and subscribed before me of
X Ph ical Presen a or Online Notarization
this day of r>,k km= 202My
(1
Name of person making statement. Name o erson making statement.
Personally Known —Z OR Produced Identification Personal) Known I--,' OR Produced identification
Type of Identification Type of l; entification
�Mgrdt)dre of Notary Pubi/iic- State of F
Commission No.
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REVIEWS
FRONT
COUNTER
REVI
DATE
RECEIVED
DATE
COMPLETED
lorida) g t e of Notary Public- State of Florida )
mmiss ii)n No. d -%� ,NN,LL� ubli tate of Florida
Notary Public State of Florida �Y T Hadley
g.Lynda A Hadley MY Commission GG 284432
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