HomeMy WebLinkAboutBuilding Permit Application Jul 21 16 08:390 First Choice Plumbing 7728797860 p.1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/21/16 Permit Number: Ie0o
- _ '= BEGET;�D JUL 212016
64502' 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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7664 S Us Highway 1 Port St Lucie FI
Legal Description:
Property Tax ID#: 3422-441-0002-000-4 Lot No-
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: j
REMOVE MAIN SEWER LINE AND HOOK UP TO MAIN CITY SEWER
CONSTRUCTION INFORMATION:
Additional work toe e orme under tis permit—checka appy:
HVAC 13Gas Tank []Gas Piping _Shutters O Windows/Doors
Electric 0 Plumbing OSprinklers O Generator O Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1200.00 Utilities: Sewer OSeptic Building Height:
OWNERf LESSEE: CONTRACTOR:
NameRentals Forever LLC Name: Manuel J Duran
Address:1225 Nw Pinelake Dr Company: First choice Plumbing Solutions
City: Stuart State:Fl Address: 1687 Spy S Macedo Blvd
Zip Code: 34994 Fax: City: Port St lucie State:FI
Phone No.661-676-1186 Zip Code: 34984 Fax: 772-879-7860
E-Mail:Pat@primavistaarecovery.com Phone No. 772-879-1414
Fill in fee simple Title Holder on next page(if different E-Mail: Fetchoiwplumbingsolutions@gmail.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.
Jul 2116 08:39a First Choice Plumbing 7728797860 p.2
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Add ress:
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:
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 Nome 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 jobsite
be ore the first inspection. If you intend to obtain financingxconsult with lender or an attorney before
commencin work or reo0rdin our Notice of Commencem Mt.
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Sign ture of Owner)Lesse Agent ignature Contractor/License H er
STAYE OF FLORIDASTATE O FLORMAr �- o
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Say -was acknowledged fore me
this.1 of 'ru(-C420 by t is��day of .l �- 20 V by
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(Signature of NoLary Public-State of Flori a) (Signature of NotadV Public-State of Florid )
Personal) Known_0 Produced Identification Personal) Known OR Produced Identification
Type of Identificati nd Produced Type of IdentifEpi on roduced
Commission No.E al fission No. 30,.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS