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HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCABLE INFO MUST BE COMPLE g Eli FOR APPLICATION TO BE ACCEPTED Date: 07118/16 Permit Number. I l9 SS O R,EIVED Building Permit Application JUL 18 2016 Planning and Development-Services' PERif ITTING Building and Code Regulation Division.._, St. Lucie County, FL 2300 Virginia Avenue,.Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)x#62-15,78 Commercial Residential X PERMIT APPLICATION FOR: To Select from drapbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION.: Address: 7321 Sea Fines Ct.Port St Lucie FI 34986 Legal Description:The Reserves willow Fines Cast at PGA Property Tax 10#: 3322-506-0014-000-2 Lot No.12 -Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: -Replace 40 gal electric water heater Like for Like CONSTRUCTION INFORMATION: AdclitionalwoKto orme under er is permit—check a apply: HVAC Cas Tank Gas Piping _Shutters a WindBwrsJOoors Electric Plumbing Sprinklers Generator D Roof Total Sq.Ft of Construction: SQ. Ft.of First Floor: Cost of Construction:+$800.00 Lltilities:OSewer QSeptic Building Height: OWNERf LESSEE CONTRACTOR: NameJulio Toro Name: Manual J Duran Address.-.7321 Sea Pines Ct Company: First Choice Plumbing Solutions City. Port St Lucie State:Fl Address: 1687 Sw.S Macedo Blvd Zip Code::34986 Fax. City; PortSt Lucie State:Fl Phone No.772-242-1657 Zip Code• 34984 Fax• 772-879-7860 E-Mail: Phone No.772-879-1414 Fill in fee shrriple Title Holder on next page(if different E-Mail: Firstchoiceplumbingsolutons@gmail.com from the Owner listed above) State or County License: CFG1427369 If value of tonstruction is$2500 or more,a RECORDED Notice of Commencement is required. L,d 099L6L9ZLL 6u1gwnld eoloyC isAd e0£:80 9L 9L Inr 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 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 any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure Please consuit 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 improveme s to your property.A Notice of Commencement must be recorded and posted on the jobsite before t Irst inspection. If you intend tv obtain financing,consult with lender or an attorney before comm cin work or recording our Notice of Comm encem nt. 1 ice- \ s Si ture of Owner/less Agent Sig ture f Contractor/Liven Holder STAXE OF FLORIDA - ATE FLORIDA CO NTY OF L�C�L OLIN OF ��'�^. Lt,>`0 I 1 e forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me is day of , 20 LJ�z by day of 20 J by O'er Lira—a (Name of person acknowledging) (Name of person acknowledging) 4ig:nature of Notary P -State of Florida} (Signature of Notary ublic- a of Florida) V/1"Personally KnownOR Produced Identification Personally Known ',�OR Produced Identification Type of Identification Produced TINAARAM f Identification Produced �*f •h: 1 IMIMyI TINAA RAIVALHO t 0 RYPUBL4C-STATE OF L IIn ��yy±±p� �/ ° e �L Commission No. 3 eaTt Om 15510n NDI'1 1.7 7.01 C. R?��� �� WAY PUBLIC-STAT---:7F FL ODA i; COMM.VF FF 95704 J�� +°im` �` my CO MM.EXPIRES 02.0 2020 � ,�`�+��Irri+�� COMM.#FF'r?I)46 MY ro"M 20 Revised 07/1 5/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW i DATE COMPLETE INITIALS Z-d 092L6L8ZLL Buiqwnld e01040ISAd e0£:90 91.96 inf