HomeMy WebLinkAboutWuest - Permit Application, Signed & NotarizedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T1 BE ACCEPTED
Date: 03-12-20911 I Permit Number:
IJ
cl ` ` Building Permit Application
Planning and De elopment Services
Building and Cod Regulation Division Commercial
2300 Virginia Avi nue, Fort Pierce FL 34982
Phone: (772) 4E2-1553 Fax: (772) 462-1578
Residential X
PERMIT APP
ICATION FOR:WUEST, ANTOIN dTTE
PROPOSED IMPROVEMENT
LOCATION:
Address: 1260 N
TTLES BLVD JENSEN BEACH FL 34957
Property Tax ID A:
Site Plan Name:
Project Name:
4502-501-1447-000-3
IETTLES ISLAND INC. A CONDO -SECTION II PARCEL 1260 AND PRO -RAT
EST
DETAILED DI
SCRIPTION OF WORK:
Drain, remove ar
d haul away the existing Rheem water heater on
Guest Bedroom
loset at the rear of the house. Supply and install r
upright tall or mei
ium electric water heater.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION: I
Lot No.
ELEMENTS (OR 87MM2) Block No.
floor next to the circuit breaker box in the 2nd floor
40 or 50 gallon Bradford White®' Residential
Additional work o be performed under this permit — check all th t apply:
_Mechanical _ Gas Tank _Gas Piping hutters _ Windows/Doors _ Pond
_ Electric X Plumbing _ Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Co struction: Sq. F1 of First Floor:
Cost of Construct on: 5 Utilities: Sewer _ Septic Building Height:
OWNERAES
EE:
COI
ITRACTOR:
Name ANTOINE
Address: 1260
City: PORT ST
Zip Code: 34957
Phone No. 772-
E-Mail:
Fill in fee simple
from the owner
TER WUEST
Na
Corr
Addi
City
Zip
Phoi
E-M
Stati
: JAMES AGER
ETTLES BLVD
pany: PLUMBING BY BISHOP
LUCIE State: _
Fax:
29-3199
ess: 2606 SE WILLOUGHBY BLVD
STUART State: FL
ode: 34994 Fax: 772-268-1412
e No 772-286-5872
Title Holder on next page( if different
listed above)
iil PLUMBINGBYBISHOP@COMCAST.NET
or County License FLORIDA / MARTIN
If value of construffion its 2500 or more, a RECORDED Notice of Comm cement is required.
If value of HAVC is S7,500or more, a RECORDED Notice of CommencerrIlent is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFOR
ATION:
DESIGNER/EN
Name:
Address:
City:
Zip:
INEER: X Not Applicable
MOR
Name:
Address:
City:
Zip:
rGAGE COMPANY: X Not Applicable
State:
Phone
State:
Phone:
FEE SIMPLE Till
Name:
Address:
City:
Zip:
LE HOLDER: x Not Applicable
BON
Nam
Addr
City:
Zip:
ING COMPANY: x Not Applicable
:
ss:
Phone:
Phone:
OWNER/ CONT CTOR AFFIDVIT: Application is hereby made to c btain a permit to do the work and installation as indicated.
I certify that no wok or installation has commenced prior to the issuance of a permit.
St. Lucie County m kes no representation that is granting a permit will a horize the permit holder to build the subject structure
which is in conflict ith any applicable Home Owners Association rules, b laws or and covenants that may restrict or prohibit such
structure. Please cc nsult with your Home Owners Association and review our deed for any restrictions which may apply.
In consideration of he granting of this requested permit, I do hereby agin a that I will, in all respects, perform the work
in accordance with he 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 structur , swimming pools, fences, walls, signs, screen rooms nd accessory uses to another non-residential use
WARNING TODINNER: Your failure to Record a Notice of Comriencement may result in paying twice for
improvemerIts to your property. A Notice of Commencertent must be recorded in the public records of St.
Lucie CounN and posted on the jobsite before the first in pection. If you wand to obtain financing, consult
with lender Oran attorney before commencine work or nilcordinevourNotice of Commencement.
f
Signature of Own
r/ Lessee/Contractor as Agent for Owner
Sig
Contractor/License Holder
STATE OF FLOF
IDA
STA1
E OF FLORIDA
COUNTYOFmAF
r1N
COU
YTY OF MARTIN
Sworn to (or affir
ed) and subscribed before me of
Swor
to (or affirmed) and subscribed before me of
Physical Pre
ence or x Online Notarization
x
hysical Presence or Online Notarization
this Im day of
NNRcH 2021 by
TH day of MARCH 2O21 by
this +
ANTOINETTEWIJEST
JAMES
AGER
Name of person In
aking statement.
Namc
of person making statement.
Personally Known
x OR Produced Identification
Perso
ially Known x OR Produced Identification
Type of Identifica
on
Type
if Identificat• n
Produced
—0�— /--Ssf
Prod
ed
i
IFluoll
ign
t o otaryPu i-
'! "•. LUCINE KHATCHERIAN:e+..'•-.
LUCINE KHATCHERIAN
Commission No.
:,: M(6@64MISSIONfIGG9852
"MISSION k GG 986
EXPIRES: May 16, 2024
firnmissionNo.
;! pP; EXPIRES: May 16, 2024
'. OF GI • RonCed TMu NOWPublie Ua4BMTI0
....
•FOi R�.: Owded Ttru Notary Public Undam
REVIEWS
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SUPERVISOR
PLAI
IS
VEGETATION
SEA TURTLE
MANGROVE
OUNTER
REVIEW
REVIEW
REVIE
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REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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