HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p //^^ //-- r-�
V Date: 5/31/19 Permit Number: V ' L l0— 0
SCANNED
BY
St. Lucie County
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
RECEIVED
JUN 0 3 1019
Permitting Department
St. Lucie County
Residential Y
PERMITTYPE:GAS PIPING
PROPOSED IMPROV.,EMENT::LOCATIQ`N .; , ' ` „ _r ,_:Y -...,- _: - _.__
Address: 2451 CASHEW LN
Property Tax ID #: i 4 �?, i 130 `�O�y �Ix1- Lot No.
Site Plan Name: Block No.
Project Name:
INSTALL NEW GAS PIPING FOR A GAS RANGE.
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 500.00
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
uOUt/NER LESSEE �'
CONTjRACTOR { y
Name MARIATORRES LAINES
Name: CHRIS JOHNSON
Address:2451 CASHEW LN
Company: CNJ PLUMBING LLC
City: FT. PIERCE State: _
Zip Code: 34946 Fax:
Phone No.772-626-1838
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 CONSTRUCTIONZTEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 JOB SITE BEFORE THE gRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR1-FIQDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 1-2
Signature of Owner/ Lessee/Contracto s Ngent for Owner
Signature of Contractor/License Ho
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF F L �C,tJ�
COUNTY OF t .c -QAQQ
The for oing inst(�m�_e�nt acknowledged before me
The forgoing instrument was acknowledged before me
�was
this: day of 20 by
this `may of oAP 20%r by
C h 115 Jr) A h%J
a� 44 s LTQ
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Pers pally Known OR Produced Identification
Type of Identification f—
Produced r C, o L—
Type'of Identification
Produced �� 0C
�cC W
Eu A,, --
(Signature of Notary Public- ate of Florida)
(Signature of Notaryublic- State of Florida )
Commission No. E1 LE ®tNUGH Public
"'%State of:Fl otarY
""' y�q
Commission No. ::ti '%,. ELLCSIda UGFIN
State 0} Or de•Notery Publlc
,z��
Cotnm:ss-on p GG 270079
3 ; COMMI ®tan 9 GG
.= ssion Expires
270070
October 2
''�
Oattaf;br
;Q'�
REVIEWS
F
PERVISOR
PLANS
VEGETAT
CO NTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.