HomeMy WebLinkAboutBuilding permit water heaterAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/22/22 Permit Number:
t Lc
LCL:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:PLUMBING
PROPOSED IMPROVEMENT LOCATION:
Address: 2023 SAINT LUCIE BLVD, LOT #200
Property Tax ID #: 1433-504-0176-000-4
Site Plan Name: MEILY
Project Name: MEILY
Residential xx
DETAILED DESCRIPTION OF WORK:
REPLACE, LIKE FOR LIKE, 30 GALLON, 4500 WATT ELECTRIC WATER HEATER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.200
Block No.
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: $ 1924.31 Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DOUGLAS MEILY
Name:RICHARD BRAME
Address:2023 ST LUCIE BLVD #200
Company: ELITE ELECTRIC AND AIR
City: FT PIERCE State: _
Zip Code: 34946 Fax:
Phone No.702-245-9012
Address:1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County LicenseCFCO29669
n vdiue or construcnon is c5vw or more, a KtI,UKutu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: 7)C- Not Applicable
Name: _
Address:
City: —
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address: _
Citv:
Zip: Phone:
State:
_,)s_ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City: —
Zip:
Phone:
CX Not Applicable
State:
x 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 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
. i -k In-A-r nr ter, 7f•tnrnnv hnfnra rnmmonrinu,Arnrk nr rPrnrciing vour Notice of Commencement.
VV 1111 141.
- -
Signature of Contractor - or - owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Sr WC t�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this Vday of __ 11-1953 201 Z-by
06C (t4,w
_
Name of person making statement.
Personally Known _ _ OR Produced Identification
Type of Identification Produced
�_
(Signature of Notary Public- State of Florida)
:k Xf ode:,
Commission No. tics(3i (Seal) g�\4�
KONNI LENAE DEWITT
Notary Public - State of Florida
•:
Commission # HH 165134
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My Comm. Expires Dec 10, 2025
Borded through Natioral Notary Assn.
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