Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: duly 14, 2021 0 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 xx L ERMIT APPLICATION FOR: Plumbing ROPOSED IMPROVEMENT LOCATION: Address: 4 Lake Vista Trail 206 Port St Lucie, FL 34952 Property Tax ID #: 3422-500-0055-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Replace 30 gallon electric water heater (like for like) 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: $ 1,000.00 Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors Pond Utilities: _ Sewer _ Septic OWNER/LESSEE: CON Name Louis Priore Nam( Address:4 Lake Vista Trail 206 Comp City.. Port St Lucie FL State: AddrE Zip Code: 34952 Fax: City: I Phone No. 772 878-6468 Zip Cc E-Mail: Phone Fill in fee simple Title Folder on next page (if different E-Mai from the Owner listed above) State Roof Pitch Building Height: TRACTOR: Gary W Zanello any: Port St Lucie Plumbing ss:6907 Heritage Dr 'ort St Lucie State: FL de: 34952 Fax: No 772 468-6524 portstiucieplumbing@gmail.com )r County License CFC058025 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. 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 COMAMNCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Must by signed by owner/Agent and applicant: (SignaturVcgntrac�v State of Florida, County of L uC 1 c I Affirmed to and subscribed beforemethis �U / 1h 20 / , by C7�i�has �il e O personally known to me or whroduced as identification. Notary Signature: Notary (print name) f JZ 1G-'� 1 (Signatare of Owner or Agent (including c(,ntractor)) State of Florida, County of Affirmed to and subscribed before me this 20__, by personally known to me or who has produced Sigrawd GG300 Bo } d Th Notary (print name) Construction documents must accompany this application. The Florida energy code submitted becomes an integral part plan and must pass final inspection. of this "Notice: In addition the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public record of this county, and there may be additional permits required from other governmental entities such as waste management district, state agencies, or federal agencies. "SIGNATURE OF THE APPLICANT MUST BE NOTARIZED. If owner builder, applicant must sign in person. BUILDING PERMIT includes: Building, Electrical, Plumbing, Mechanical, and Sewer only. All other trades require separate applications. Asbestos compliance: It is the owner's or operator's responsibility to comply with section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of his or her intentions to remove asbestos, when applicable, in accordance with state and federal law. FEE SIMPLE TITLEHOLDER, BONDING COMPANY AND MORTGAGE LENDER INFOWHEN RMATION IS REQUIRED THE AGGREGATE VALUE (TOTAL COST OF ALL IMPROVEMENTS AND NOT JUST WORK AUTHORIZED BY THE INDIVIDUAL PERMIT) IS $2500 OR MORE (EXCEPT HVAC REPAIR/REPLACEMENTS $7500). PLEASE ADDRESS ALL ITEMS. Fee Simple Titleholder's ❑ Same as Owner Name (if other than owner): Address: City: State Zip. Mortgage Lender's © Not Applicable Name - Address: City: State: Zip: Bonding Company Name: Address: City: ❑ Not Applicable State: Zip: OFFICE USE ONLY Is the property located in a Special Flood Hazard Area (floodplain) per the current Flood Insurance Rate Map (FIRM) ❑ Yes ❑ No Flood Zone: Reviewed by: Determination. Permit Fee $ Other State Surcharge Subcontractor Total Amount Due at Issuance Remarks Reviewed by Other Flood Review Fee Date Plan Review Fee $ $ Routing Fee Final Check Other $ E e Code Violation 0 Yes 0 No ff Type Date Page 2 of 2