HomeMy WebLinkAboutBUILDING PERMIT APPLICATION Jul_01.2021 12:07 PM Leyva Plumbing Services, Inc_ 7722374788 #5867 P il/ 2
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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:(7�2)462-1578 Commercial Residential X
PERMITTYPE:Plumbing
Address: 180 SE Serenata Ct.
Property Tax iD#• 3419-540-0141-000-4 Lot No.4
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Site Plan Name: �•„ Block No. 47
Project Name:
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Run a new water service main line from meter to house.
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Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank —Gas Piping _Shutters _Windows/Doors
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Electric J.2/plumbing Sprinklers Generator Roof _ __Pitch'
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$R J Utilities: Sewer _Septic Building Height:
3.
Name Amber Vinz Name:Abner Leyva
Add ress:711 SE Celtic Ave Company:Leyva Plumbing Services _
City Port St Lucie FL State:_ Address:1502 SW Meridian Ave
Zip Code: 34983 Fax: City; Port ST Lucie State:FL
Phone No. zip Code: 34953 Fax<
E-Mail' Phone No786-586-6928
Fill in fee simple Title Holder on next page(if different E-Mail leyvapiumbing@yahoo.com
from the Owner listed above) State or County License CFC1 425666 j
If value of construction is$2S00 or more,'a RECORDED Notice of Commencement is required.
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
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Ju1.01.2021 12:10 PM Leyva Plumbing Services, Inc_ 7722374788 #5867 P 2/ 2
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DESIGNER ENGINEER; Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: _
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOEDER: 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 make no representation that is granting a Hermit will authorize the permit holder to build the subject structure
which is in con act wit 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE.RECORDED'AND
POSTED ON THE JOB SITE BEFORE THE FIRST iNSPi;CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT,
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of Owner/Lessee/Contractor as Agent for Owner Si nat nt ctor/Llcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing Instrument was acknowledged before me The f going Instr ment was acknowledged before me
this`day of 20_ by this day of 20,E by
Name of person making statement. Name of person niakdng statement.
Personally Known OR Produced Identification . Zernally Kno _ OR Produced Identification_.
Type of Identification of Id ation
Produced ced
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(Signature of Notary Public-State of Florida} (Si Lure of otary Pub:c- tate of for da)
Commission No._ _ (Seal) Commission No.& ,�-7y4F (seal)
REVIEWS FRONT 1' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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