HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/14122 Permit Number:
O' v
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential xxxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Plumbing- Water Heater
PROPOSED IMPROVEMENT LOCATION:
Address: 13209 South Indian River Drive Jensen Beach FL 34957
Property Tax ID #. 4509-130-0001-000-1 Lot No
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install 50G Eletric Water Neater Located in the garage
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
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: $ 800 Utilities: —Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sandeep Dewan
Name:Joseph Duran
Address:13209 South Indian River Drive
Company: First Choice Plumbing Solutions
City: Jensen Beach State: II
Zip Code: 34957 Fax:
Phone No.(561) 573-0304
Address:1943 SW Biitmore Street
City: Port St. Lucie State: FI
Zip Code: 34984 Fax:
Phone No772.879.1414
E-Mail:snddewan1@hotmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail firstchoiceplumbingsoltions@gmail.com
State or County LicenseCFC1427369
It value or canszrucaan is L5uu or more, a KELORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: state:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 bultd 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: Yq
ilure to Record a Notice of Commencement may result in paying twice for
improvements to your erty. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on obsi before the first inspection. If you intend to obtain financing, consult
with ie_nder or an attorney befor mmencing work or recordine vour Notice of Commencement
Signature of ntractor - r - Owne Builde as applicable
STATE FLORIDA
COLIN OF
Sworn to (or affir subscribed befor �e of -
Physical Presence or Online Notarization
this LI day of 20.JZ by
Name of person making statement.
IVotay Pubik State or Florida
Personally Known OR Produced Identification
. �'. Lynda A Hadley
_� _
Type of Id nti ' ation Produced
My CommissionGG 284432
�w Expires 12 16Q022
40,
( ture of ary Public- State of Florida
rl
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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