HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPL'_:.:� FOR APPLICATION TO BE ACCEPTED / T/
Date: 4/29/19 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
SCANNED -?e
BY
St. Luce County pP APy�g F2F�
Building Permit Applicationa 1p�9
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PERMITTYPE:GAS PIPING
PROPOSED IMPROVEMENTLOCATION
Address: 1602 ANGLE RD.
Property Tax ID #: 2406-504-0024-000-3
Site Plan Name:
Project Name:
Commercial Residential Y
INSTALL UNDERGROUND GAS PIPING FOR NEW APPLIANCES.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 500.00
_ Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/,LESSEE
CONTRACTOR
Name BEATRICE ALONZO
Name: CHRIS JOHNSON
Address: 1602 ANGLE RD.
Company: CNJ PLUMBING LLC
City: FT. PIERCE State: _
Zip Code: 34947 Fax:
Phone No.772-263-1777
Address: 1701 S. 37TH ST.
City: FT. PIERCE State: FL
Zip Code: 34947 Fax:
Phone No 772-801-3073
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail CHRISJOHNSON@FPUA.COM
State or County License 30950
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.
SUPPLEMENTAL CO
DESIGNER/ENGINEER:
Not
LIEN LAW INFORMATION:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY: _Not Applicable
Name:_
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 co Act 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 CO��M}}TTMENCEMENT MUST BE
RECORDED AND
POSTED BEF9RE THE FIRST INSPECTION. IF
WITH YOUR ENDER OR AN ATTORNEY BEFORE RECORDING YOUR ONOTICE OF COMMENCEM FIN
V'CING, CONSULT
ignature of Owner/ essee/Contractor as Agent for Owner
Signature of Contractor/Lice older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged/before me
this _d of, 220 by
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Thug instrument was acknowledged before me
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Name of person making statement.
Name of person making statement.
Personally Known L_ OR Produced Identification
Personally Known i%b,, OR Produced Identification
Type of Identificatio
Type of Identificati
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