HomeMy WebLinkAboutBuilding Permit Application Aug 2G180711a First Choice Plumbing
/728797880 P.
ALL APPLI�ABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: 08/26/2016 Permit Number: 013- o3 U
Building Permit Application RECEIVED
Planning�cf Development Services
Building and Code Regulation Division AUG 15 2016
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
-PROPOStD IMPROVEMENT LOCATION:
Address: 74, 28 LAURELS PLACE,PORT SAINT LUCIE, FL 34986
Legal Des6 iption: PARCEL 15A AT THE RESERVE LOT 11 OR 3592-648
Property Tax ID#: 3322-501-0014-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
)ON INFORMATION:
Acid iti o nal work to be—pe-fformed Under this permit—check all thLat apply:
HVAC 11 Gas Tank [__]Gas Piping Shutters Windows/Doors
Electric 5V-1 Plumbing nSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction; Sq. Ft.of First Floor:
Cost of Construction:$ 800-00 Utilities: Flewer Eleptic Building Height:
OWNERAESSEE: CONTRA R:
Name ROBERT MUELLER Name: MANUEL JOSEPH DURAN
Address:742B LAURELS PLACE Company: FIRST CHOICE PLUMBING SOLUTIONS
City: PORT SAINT LUCIE Ft. 1687 SW SOUTH MACEDO BLVD
I - State: Address:
Zip Code: ,�4986 Fax: City: PORT SAINT LUCIE State:F L
Phone No.,772-464-2994 34984 772-879-7860
Zip Code: Fax:
E-Mail: Phone No. 772-579-1414
Fill in fee simple Title Holder on next page if different E-Mail: FIRSTCHOICEPLUMBINGSOLUTIONSaGMAIL.COM
from the Owner listed above) State or County License: CFC1427369
If value of constTuction is$2500 or more,a RECORDED Notice of Commencement is required.
IL
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Aug 2616O7:11a First Choice Plumbing 7728707880 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 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 Co6n, makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conWict 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 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 usesto 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 Nofice 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
Fture of Owne ctor as Agent for Owner Sign of Coriti�actor/Lice_ se Holder
t Sign3e
SATE OF FLORIDA AT OF FLORIDA
UNTY OF COU TYOF
(Name of person acknowledging Name of person acknowledging I
(Signature of Nc�hry Public-State of Flq�lcla (Signature of Notai Pu lic-ttate 4of FI oridiO
Personally Known R Produced Identification Personally Known OR Produced Identification
Type of Ideritifica XoncF—rodu0ced, Type of Identification Produced
Commission No.(0366� r,-, NANCY LE'LANGF:I&Qminission No.
0MUISSION ft EEE 30242
EXPIRES
F104dallotwyScre;w.coni 93
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW — REVIEW REVIEW REVIEW REVIEW
COMPLE
INITIALS
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