HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR: Water Heater Replacement
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 9500 S OCEAN DR Unit 1208
Property Tax ID #: 4502-602-0112-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Water Heater Replacement
DETAILED DESCRIPTION OF WORK:
Replacement (like -for -like) of 38 gall lowboy electric water heater.
Located in the hallway closet under the AC Air Handler
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
Electric X Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1245.00
(Affidavit required)
Sq. Ft. of First Floor:
Utilities: _ Sewer —Septic
Building Height:
Pond
Pitch
OWNER/LESSEE
CONTRACTOR:
Name James Midanek Susan Rosenstock
Name: Kliment Stefanov
Address: 9500 S Ocean DR Apt 1208
Company: Kintex Plumbing, LLC
city: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 202-679-6869 E-
Address: 2880 W Oakland Park Blvd Suite 200
City: Oakland Park State: FL
Zip Code: 33311 Fax:
Phone No 954-343-6554 / Cell 954-995-9092
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail info@kintexplumbing.com
State or County License CFC1429639
it value of construction Is Z5UU 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 INFORMATI
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City: _
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City: _
Zip:
Phone:
Not Applicable
State:
Not Applicable
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 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 ur property. A Notice of Commencement must be recorded in the public records of St.
I.,kcle County and 'sted on the jobsite before the first inspection. If you intend to obtain financing, consult
itiXh lender or an tornev before commencing work or recording vour Notice of Commencement.
gnature of Contractor - or - Owner Builder as applicable
t
STATE OF FLORIDA
COUNTY OF BROWARD
Sworn to (or affir ) and subscribed before me of Physical Presence or Online Notarization
this L-16 day of 27 n by t
Name of person making statement.
Personally Known OR Pro uced den ation
Type of Identification Produced r
(Signature of Notary Public- State of Flori )
l Seal io`;�v e�eG°- VANNESKA TORRES
Commission No. ) r Notary Public - State of �,orida
Commission; HH 044075
of F`°: ` My Comm. Expires Sep 20, 2024
Bonded through National Notary Assn.
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