HomeMy WebLinkAboutBuilding Permit Application Platinum Plumbing 3217264171 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-8-15 Permit Number: �0!2t• c) Z Ao
F ECEMEL:
Building Permit Application
Planning and Development Services SEP / 9 2 '3
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 182 Selve Court Port ST Lucie,FL.34983
Legal Description: SEC 28/Block 62/Lot 6/Parcel 10#3419-550-0002-000-9
Property Tax I D#: f Q `S ® � '�� � Lot No.6
Site Plan Name: Block No. 62
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 40 gallon gas water heater
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tispermit—checka appy:
HVAC CGas Tank []Gas Piping CGenerator
Shutters QWindows/Doors
11 Electric WIPlumbing Sprinklers El Roof
Total Sq.Ft of Construction: S�of First Floor:
Cost of Construction:$ 1,150.04 Utilities: Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Federal Home Loan Mort.Corp Name: Cecil Griffith 11
Address:5000 Plano PRKWY Company: Platinum Plumbing&Solar LLC
City: Carroliton State•TX Address: PO Box 100426
Zip Code: 75010 .Fax: City: Palm Bay State:FL
Phone No.972-395-4000 Zip Code: 32910 Fax: 321-726-4171
E-Mail: Phone No. 321-726-4170
Fill in fee simple Title Holder on next page(if different E-Mail: cecilbbq@gmail.com
from the Owner listed above) State or County License: CFC1427638
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: i Not Applicable MORTGAGE COMPANY: Not Applicable
Name: _ Name: _
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: __._.Not Applicable BONDING COMPANY ,,,_,_,Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 anappiicabie Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult an
th:your.Home Owners.Association and review your heed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree than will,in all respects,perform the work
In accordance:with the approved plans,the Florida Building Codes and St.Lucie County Amendments,
The following:bUiiding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,.wall%signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER Your failure to Record a N+otice.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 before
commencing work or reeording.your Notice of Commencement. `
s
_Sigrf�i tu`re Owner/Lessee/Agent SignattfFe R Contractor/License Holder
SPATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ fi COUNTY OF—
The
F
Thefo 1oing instrument w sacknowledged before me The forgoing Instrument was acknowledged before me
this L day of 20 Eby this-91L day of`j?�L .t,_ 20 IS by
+1 `STP
fi
(Name of person acknowledging) (Flame of person acknowledging)
' q ._ �.
(Signature of Ido ry Public State of:Florida) (Signature of Notary Pubilc-State of Florida)
Personally Known `X OR Produced Identification Personally Known____,,,,_OR Produced,identificat on �
Type of identification Produced a of Identification Produced
_at,µx C�
Commission No: � yCOMr SION#EE16 (G mmission No, I�`
'EXPIRES:FEB 10,2016 t+$+e,J,, ea
`°'% RICA eEANAR00
Bonded through ist Stale IRS lea Notary Public•State of Flan
Revised 07/15/2014 r�N%",�b, •;�. yComm{ssion#EE 211643
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION. SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS