HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
LLTLCM,
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 C13DG Funding
•
PERMIT APPLICATION FOR:
Address: 12 JULIA
Property Tax ID #: _ 1301-500-0542-000-3 Lot No. 12
Site Plan Name: Block No.
Project Name: JAQUES
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)
011, 12EM
Additional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tank —Gas Piping Shutters Windows/Doors Pond
)L 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:
M
Name DELSLIE JAQUES Name: Joel Casimiro
Address: 12 JULIA Company: All State Plumbing Services.
City: Fort Pierce State: FL Address: 540 E Minnehaha Ave
Zip Code: 34951 Fax. City: Clermont State: FL
Phone No. 772-979-2738 E- Zip Code: 347111 — Fax:
Phone No 772-281-8912
Mail:
Fill in fee simple Title Holder on next page (if different E-Mail rebecca@permitgroupfl.com
from the Owner listed above) State or County License CFC057323
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.
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DESIGNER/ENGINEER:
Applicable
MORTGAGE COMPANY:
Not Applicable
_Not
_
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 0o the worK and ms�anauuri ds 1(1U1l.d LU
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 consult 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 C unty alifid posted on the jobsite before the first inspection. If you intend to obtain financing, consult
t b f r commencin work or recordingour Notice of Commencement.
with le er or n at orne e o e
A4
Signature o ner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of _
Physical Presence or X Online Notarization
this 3 day of Nov 2021 by
Joel Casimiro
Name of person making statement.
X
� NloridaPersonally
Known OR Produced Identification
=ehen
RType
of Identification Produced FL DIL
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(Signature of Notary Public- State of Florida)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21