HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: vf' Permit Number: % 901 • ®j 00
Building Permit Appli
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
Address: 202 SE Selva Ct SCANNEB
PropertyTax ID #: 3419-545-0101-000-7
Site Plan Name:
Project Name: Residential natural gas installation
Cut and cap existing copper propane line below grade to abandon
Tie in to new natural gas meter using SCH 40 galvanized pipe and fittings
Pipe gas supply to water heater
Lot No.4
3lock No. 62
CONSTRUCTION (RIFORMATION: `"=
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 675.00
✓Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
Co
Name N 7r�39MAAJ
Name:dames Marsala
Address: c � 640 2.
Company: Peerless Plumbing & Drain
City: t x AdPr Crec State:()
Zip Code: L Fax:
Phone No. �I`OCH-,Yq 6 06'
Address:651 NW Enterprise Dr Unit 106
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-344-6360
Phone No772-223-1356
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjames@peeriesspiumbing.net
State or County LicenseCFC 1428692 LI 39483
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
aSUPFE1tlI LENTALCONSTRUCTIOIV LIEN'LAW IItfFORMAT�ON'
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��MORTGAGE
DESIGNER/ENGINEER:
Name:
_ Not Applicable
COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney b
commencing work or recording vour Notice of Commencement.
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Signature f'Owner/ Lessee/Contractor as Agen.
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Signature often ractor/License Holder
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Commission No. (Seal)
Commission No. (Seal)
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DATE
RECEIVED
DATE
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