HomeMy WebLinkAboutBuilding Permit App - Fields All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
E ° 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 CBDG Funding
PERMIT APPLICATION FOR: PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address:_5940 Spanish River Rd
Property Tax ID#: 1312-502-0021-000-5 Lot No. 14
Site Plan Name: Block No.
Project Name: Fields
DETAILED DESCRIPTION OF WORK:
Remove existing bathtub and replace with walk-in jetted tub in same footprint.
With (2) GFCI circuits
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Pond
X_Electric x-Plumbing !Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2400 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Dimitri Fields Name: Ralph Traniello
Address: 5940 Spanish River Rd company: North End Plumbing and Drains
city: Fort Pierce State:FL Address: 1000 STINSON WAY UNIT 106
Zip Code: 34951 Fax: city: West Palm Beach State: FL
Phone No. 772-489-1259 E- Zip Code: 34711 Fax:
Mail: Phone No 561-469-2225
Fill in fee simple Title Holder on next page(if different E-Mail thenorthendco0amail com
from the Owner listed above) State or County License CFC1429833
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners 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.
Signffure of Owner/Lessee/Contractor as Agent for Owner
Or
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to(or affirmed)and subscribed before me of Physical Presence or X Online Notarization
this day of November 2o21 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notar _Pu�bllic-Striate of Florida)
Commission No. N ��d' '.CS (seat) �Or Notary Public Steto of Florida
Rebecca Nicole Bonilla
My Commission HH 15W88
j� Expires 07I0=025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE —
COMPLETED
Rev
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
BOSTON ELECTRIC have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub-contractor for NORTH END PLUMBING AND DRAINS
(Type of Trade) (Primary Contractor)
For the project located at 5940 Spanish River Rd
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
COPkxciOR SIGNATURE(Qualifier) S TRACTb#SIGNATURE(Qualifier)
RALPH TRANIELLO JOHN CENT
PRINT NAME PRINT NAME
CFC1429833 EC13008281
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of PALM BEACH State of Florida,County of PALM BEACH
The foregoing instrument was signed before me this 3 day of The foregoing instrument was signed before me this 3—day of
,2011 by RALPH TRANIELLO m6-s—f ,20Ztkby JOHN CENTER
who is personally know9y—or has produced a who is personally known XI or has produced a
as identi ation. as identification.
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STAMP /�✓�fJie2, f,1p � STAMP
Signature of Notary Public }} Signature of Notary Public
i C . l� ®!° l I_C 6l Q. Ki1 l L
Print Name of No Print Name of Notary Public
Notary Public State of FlOttd81
Rsbe=WOO BWft
My Commission HH 150468 s of FWA a
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5 15048t35Revised 11/16/2016