HomeMy WebLinkAboutBuilding PermitAll APPLICABLE 1 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U[ �- 7 Z I Permit Number:
�� Lei PLC `-
rz Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Install waterline
PROPOSED IMPROVEMENT LOCATION:
Address: 8150 Saratoga Way, Port Saint Lucie, FL 34986
Property Tax ID #: 3321-502-0033-000-6
Site Plan Name: Sabal Creek- Phase 2
Project Name: Waterline install
DETAILED DESCRIPTION OF WORK:
Install 200 feet of waterline to connect house to city water.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No. 84
Block No.
_Mechanical _Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric V- Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 200 feet
Cost of Construction: $ 1000
Sq. Ft. of First Floor:
Utilities: ewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Lynn Marzo
Name: Benjamin Jimenez
Address:8150 Saratoga Way
Company: Benjamin DRew's Plumbing
City: Port Saint Lucie State:
Zip Code: 34986 Fax:
Phone No.
Address:4117 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: N I IN
Phone No772-877-2962
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Ben@benjamindrewsplumbing.com
State or County License CFC1429456
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:
Address:
MORTGAGE COMPANY: LXNot Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attornev before commencine work or recordinia vour Notice of Commencement.
Signature of C*r1i-e_r/see/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L_ x9=Z :_ COUNTY OF !!E i'NN-
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
�h sical Pres ce or Online Notarization �hysical Presence or Online Notarization
this day of UIX� 202 by thisZ day of �l _ 202f by
Name of person making statement. Name of person making statement.
Personally Known _�'�OR Produced Identification
Type of Identification
Produced
Notary Public- State
Commission No. T�
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
COMPLETED
ANGIE PERDOM
Notary Public - State c
I) Commission N HH d
My Comm. Expires Sep
led through National No
Personally Known __,,�-'011 Produced Identification
Type of Identification
Produced
ign ture of Notary Public- State v'nlyd� - ANGIE PERDOMO
Florida 11 1(t�Gj�.� °��_ Notary Public State of
9ODm ission No. 41 `i '7� eaI) commission # HH 4i
9, 2024 :?pF;: ' My Comm. Expires Sep
ry Assn, Bonded through National Not
SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW