HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO E ACCEPTED
Date: 2012-1,; — C� Permit Number:
LLcCL
t- L `' U t ` r Building Perm' 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:BRUHIN, PATRICIA
PROPOSED IMPROVEMENT LOCATION:
Address: 300 HOLLY AVE PORT ST LUCIE FL 34952
Property Tax ID ff: 3419-510-0260-000-1 Lot No.29
Site Plan Name: RIVER PARK-UNIT 2- BLK 19 LOT 29(MAP 34/22 )(OR1283-96: 1728-1258) Block No. 19
Project Name: BRUHIN
DETAILED DESCRIPTION OF WORK:
Drain, remove and haul away the existing AO Smith water heater on I ie floor in the Garage.
Supply and install new 40 gallon Bradford White®' tall residential LP as water heater.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all thc I apply:
_Mechanical _Gas Tank —Gas Piping _S i utters _Windows/Doors _Pond
_Electric X Plumbing _Sprinklers enerator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,690.00 Utilities: ewer —Septic Building Height:
OWNER/LESSEE: CON TRACTOR:
Name PATRICIA BRUHIN Nam :JAMES AGER
Address:300 HOLLY AVE Comr any:PLUMBING BY BISHOP
City: PORT ST LUCIE State: FL Addr ss:2606 SE WILLOUGHBY BLVD
Zip Code: 34952 Fax: City: STUART State:FL
Phone No.860-670-5209 Zip Code: 34994 Fax: 772-268-1412
E-Mail;MAMATRISH7(gCS.COM Phon No 772-286-5872
Fill in fee simple Title Holder on next page( if different E-Ma I PLUMBINGBYBISHOP@COMCAST.NET
from the Owner listed above) State or County License FLORIDA/MARTIN
If value of construction is 2Soo or more,a RECORDED Notice of Comme ement is required.
If value of HAVC is$7,500or more,a RECORDED Notice of Commencernt nt is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MOR GAGE COMPANY: x Not Applicable
Name: Name:
Address; Addr ss:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONI IING COMPANY: x Not Applicable
Name: Nam
Address: Addr s:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to c btain 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 au horize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, b laws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review Vour deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agr a 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 exemptfrom undergoing a full concurrency review:room additions,
accessory structures, swimming pools, fences,walls,signs,screen rooms i ind accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Comn encement may result In paying twice for
improvements to your property. A Notice of Commencer ient must be recorde public records of St.
Lucie County and posted on the jobsite before the first in pection. If you ' nd to obtain financing, consult
with lender or an attorneybeeeffore-c�olmpmencin work or ri cordingou otce of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Sig, a ure of C r or/License Ider
STATE OF FLORIDA S F FLORIDA
COUNTY OF ST LUCIE COU 9TY OF MARTEN
Sworn to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x hysical Presence or Online Notarization
this 28TH day of DECEMBER 2021 by thI5 day Of DEMEBER 2021 by
PATRICIA BRUHPI JAMES kGER
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Perso ially Known x OR Produced Identification
Type ofldent' Type a
Produce Pro ed
(Signatur ry P (Sign ture Notary Publ
LUCIN KHATCHERIAN , 'M ?"'+ LU INE KHATCHERIAN
MY C(�I ION#GG 985230 ' '`� MY =ION#GG 985230
Commission No, p ,,
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` y IXPIRE=:May 76,2024
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REVIEWS FRONT ZONING SUPERVISOR FLA S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVI REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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