HomeMy WebLinkAboutBuilding Permit Application May 1016 09:23a First Choice Plumbing 7728797860 p.1
ALL APPLICABLE NFO MjUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q�
Date:-� l�® I I Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8925 First Tee Rd Port St Lucie FI 34986
Legal Description: Pod 33 At The Reserve Pahse 1 Kingsmill
Property Tax ID# 3334-500-0038-000-5 Lot No.27
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace 50 gal electric water heater
Like for Like
CONSTRUCTION INFORMATION:
Acid itional work toe nerformed under tis permit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters a Windows/Doors
0_Electric Z Plumbing ❑Sprinklers El Generator 0 Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 800.00 Utilities.L]Sewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name.lohn Andalort Name: Manuel Joe Duran
Address:45 Staten Dr Company: First Choice Plumbing Solutions
City: Hockessin State•De Address: 1687 Sw S macedo Blvd
Zip Code: 19707 Fax: City: Port St Lucie State-.171
Phone N0.3022936728 Zip Code: 34984 Fax: 772-879-7860
E-Mail: Phone No. 772-879-1414
Fill in fee simple Title Holder on next page(if different E-Mail: Firstchoiceplumbingsolutions@gmaii.com
from the Owner listed above) State or County License: CFC1427369
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
May 1016 09:23a First Choice Plumbing 7728797860 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: +Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _.__Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 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 5t.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 before
coXnmencing work or rRcording your Notice of Commencem nt.
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TE OF FLORIDASTATE FLORIDA
NTY OF �. COUN OFforgoing instrument was acknowledged before me +L The rgoing instrument was acknowledged before me
s_Q day of V't Q4 20 Irby t ' J day of �11^�►1 ZO by
(Name of person acknowledging) (Name of •erson acknowledging)
(Signature of Notary Pub to of Florida) (Signature of Notary Pu - tate of Florida)
Personally Known OR Produced Identification Personally Known bl� OR Produced Identification
Type of Identification Produced Tvoe of Identification Produced
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MY C )MM.EXPIRES 0243.2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS