HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 2, 2021 ' Permit Number:
-_
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 xxxx
PERMIT APPLICATION FOR: Plumbing- Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 5404 BUCHANAN DR
Property Tax I D #: 3402-602-0220-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Like for Like: Install 50g Electric water heater in garage
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
Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 800
Lot No. 3 & 4
Block No. 7
Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Gary N Peterson
Name:Joseph Duran
Address:5404 Buchanan Dr
Company: First Choice Plumbing Solutions
City: Fort Pierce State:
Zip Code: 349$2 Fax:
Phone No. (772) 577-0389
Address1943 SW Biltmore Street
City: Port St. Lucie State: FI
Zip Code: 34984 Fax:
Phone No772.879.1414
E-Mail:gnpjlp@bellsouth.net
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
E-Mailfimtchoicepiumbingsoftions@gmail.com
State or.County License CFC1 427369
.. raAuc uA 4VAA.TNilL�l% Al iA GaIJV VF IIEVEC, d KC%.VRUrU NOXICe of Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
Ph
DESIGNER/ENGINEER:
l IEN LAW INFORMATION:
Name:
--� Not Appiicable MORTGAGE COMPANY:
Address:
Name: Not Applicable
City:
Zip: Phone
State: Address:
City.
FEE SIMPLE TITLE HOLDER:
State:
Zip: �— Phone:
Name:
Not Applicable BONDING COMPANY:
Address:
Name: —Not Applicable
City -
Zip: Phone:
Fit':
Zip:
OWNER/ CONTRACTOR AFFIDVlT: 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
which is in conflict with anY applicable Home Owners Association rules, bylaws or and covenants structure. Please consult with your Home Owners Association and review J ct structure
Your deed for any restrictions wh which ° prohibit such
1n 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 approves! plans, the Florida Building Codes and St. Lucie County Amendments. yrkapply
The followingbuilding k
g permit applications are exempt from undergoing a full concurren
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another okn-redential use
cY review: room adWARNING TO OWNER. Your failure to Record a Notice of Commencement may result in payiimprovements to your pr perty. A Notice of CommenceE ount and os#e or
y P the jobsite before the first inspectmu If yountnd to bncng dconsutwith len or an attarne fore commencn work or recordinice of Com
5ignat of Owner/ Lesse Cont r ctor as Agent for caner I
SignatQ4)
or/License Ider
ST E OF FLORIDA
C UNTY OF sT. ��«� STATFLORIDA
COU• •,c,�Swo to [or affirmed) and subscrib fore me ofsisal Presence or Swornf and subscribed efore m fthis Z�� of Onh a tarization ✓Pe or1''~202 onl a Notarization
this2"
2D2q by
Name of person making statement.
_ na I OR Produced Identification
Type of identification
Commission No.
REVIEWS
RECEIVED
DATE
Public State of
r ��mrtnsswn CG 284432
Expires 72I1t3l2f)22
Name of person making statement_
sonall Kno
iiiX_ OR Produced Identification
Type of Identification
Produced
4'gre of N�P�ublic-ta a of Florida }
Commission No.
FRONT I ZONING SUPERVISOR Pi-ANS
COUNTER REVIEW REVIEW
REVIEW
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