HomeMy WebLinkAboutBuilding Permit Application Jun 281611:02a First Choice Plumbing 7728797860 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
Building Permit Application JUN 2 P
Planning and Development Services
Building and Code Regulation Division PEF 11'r Ti;lG
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL.
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: X
Address: 531 Banana Ln Port St Lucie Ft 34982
Legal Description: Palm Grove SID
Property Tax ID#: 3410-503-0312-000-2 Lot No.12
Site Plan Name: Block No. K
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Insta;; 40 gallon Electric Water Heater Like For Like
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
C3HVAC E]GasTank Gas Piping _ShuttersWindows/Doors
11 Electric 21 Plumbing Sprinklers 0 Generator 1-2 Roof
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ 800.00 Utilities:�Sewer®Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name George Cleveland Name: Manuel Joe Duran
Address:531 Banana Ln Company: First Choice Plumbing Solutions
City: Port St Lucie State•Fi Address: 1687 Sw S Macedo Blvd
Zip Code: 34982 Fax: City: Port St Lucie State:FI
Phone.No.772-240-1381 Zip Code: 34954 Fax: 772-879-7860
E-Mail: Phone No. 772-879-1414
Fill in fee simple Title Holder on next page(if different E-Mail: Firstchoiceplurnbingsolutions@gmail.com
from the owner listed above) I State or County License: CFC1427369
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Jun 281611:02a First Choice Plumbing 7728797860 p,2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: T 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 holderto 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 Horne 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 before
commencin workor recording your Notice of CommapceRient.
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he forgoing instrument was acknowledged before me Th forgoing instrument was acknowledged before me
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this day of 20 I_Jp_by t 1sis ell day of 20LIA_by
(Name o person acknowledging) on acknowledging)
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(Signature of NotaryzPubtate of Florida) (Signature of Notary Pub -Sate of Florida
Personally Known OR Produce d Identification Personally Known OR Produced identification
Type of Identification Produced Type of identification Produced
Commission NoiG-r-ka q- Seal Commission No-ne',5_'S%Z4Yr— (Seat)
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COMM.#FFS51046 --NOTARY PUBLIC-STATE OF FLOI JOA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS