HomeMy WebLinkAboutBUILDING PERMIT APP - maverick boat All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/5/21 Permit Number:
UME
O
p o p .
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: GAS PIPING
4
.PROPOSED IMPROVEsMENT LOCA�fION
Address: 4551 ST. LUCIE BLVD.
Property Tax ID#: 1431-120-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED 'DESCRIPTION OF WORK: `t
: x
INSTALL NEW GAS PIPING FOR NEW AND EXISTING ROOF UNITS.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
:N
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors Pond
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
r
Name MAVERICK BOAT GROUP Name:CHRIS JOHNSON
Address:3207 INDUSTRIAL 29TH ST. Company:CNJ PLUMBING L.L.C.
City: FT. PIERCE State: Address: 1701 S. 37TH ST.
Zip Code. 34946-8642 Fax: City: FT. PIERCE State:FL
Phone No.772-465-0631 Zip Code: 34947 Fax:
E-Mail: Phone No 772-801-3073
Fill in fee simple Title Holder on next page(if different E-Mail CHRISJOHNSON@FPUA.COM
from the Owner listed above) State or County License 30950
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.
2
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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 makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any with
Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
'structure. Please consult t 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 N 'ce of Commencement.
Signature of Owner a e/ ontractor�asXgent for Owner Signature of Contractor/License older
STATE OF FLORIDA / , STATE OF FLORIDA
COUNTY OF sil. 4L.,0/V COUNTY OF _S; Z-Gt r
Sworn to(or affirmed)and subscribed before me of 'Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ,• ,Physical Presence or Online Notarization
this,_ day of A- .202 ,by this L�L.day of � f�i•& ,2021 by
V
Name of person making statement. Name of person making statement.,
Personally Known _OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
-Produced Produced
1201e�1711,124'lm .11-114 i —
(Si nature of Notary P b'c-Staip of Floridia (Signature of Nota
c►�`Y pL tit MARTHA A KERR '�*a ��t. MARTHA A KERR
Commission No. ?�:' Notary Pt(f�t>:*ate of Florida Commission No. ':�� �•°= Notary Public-$ Florida
Commission N GG 311213 •:,� ��= Commission IjGG 311213
1�,.,,n„. jj• My Comm.Expires Mar 22,2023 •..Q +1..•4 My Comm.Expires Mar 22,2023
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REVIEWS FRONT ZONING SUP R I R PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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