HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/23/21 Permit Number:
lv:,U" WI[C—LL .
L L �5 ` i z '` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:PLUMBING - WATER HEATER
PROPOSED IMPROVEMENT LOCATION:
Address: 5100 PINETREE DRIVE
Property Tax ID#: 3402-602-0164-000-8 Lot No.1&2
Site Plan Name: AGOSTINELLI Block No.
Project Name: AGOSTINELLI
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 50 GALLON WATER HEATER
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 _Windows/Doors Pond
Electric X Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2400.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DAMIEN AGOSTINELLI Name:RICHARD BRAME
Address:5100 PINE TREE DRIVE Company:ELITE ELECTRIC&AIR
City: FORT PIERCE State: FL Address:1691 SW SOUTH MACEDO BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No.202-641-8311 Zip Code: 34984 Fax: 772-340-3702
E-Mail: Phone No772-340-3797
Fill in fee simple Title Holder on next page(if different E-Mail PERMIT@ELITEELECTRICANDAIR.COM
from the Owner listed above) State or County LicenseCFCO29669
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.
Sal RLEM'ENTAL CC}NSTRUCTION L1EI, LAW INF4RCVIATI.QN.,
/ )L_ pp MORTGAGE COMPANY:
DESIGNER ENGINEER: Not Applicable Not Applicable
Name: Name:
Address: Address:
City: _State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE'TITLE HOLDER: _Ig Not Applicable BONDING COMPANY: C�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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Sr L,uc If
Sworn to(or affirmed)and subscribed before me of LC_Physical Presence or Online Notarization
this day of AUG usr 20_J by
Name of person making statement.
Personally Known X _OR Produced Identification
Ty f Identification Produced
(Signature of Notary Public-State of Florida j
Commission No. GG l(osotif S (Seal) KOPJNI LENAED6WI?7
•; � w, Notary Public—State of Florida
; _ Commission#GG 166915
fY 51IDP ,: My Comm.Expires Dec 10.2021
Bonded through Naliona{Nolary Assn
.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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