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HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 10117 Wild Quail Dr Port St Lucie R Legal Description: THE RESERVE WILLOW PINES AT PGA VILLAGE Property Tax ID #: 3322-621-0018-000-4 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACE 50GL ELECTRIC WATER HEATER Lot No.9 Block No. CONSTRUCTION INFORMATION: Additional work to be vertormed under t ispermit — check a appy: E1HVAC Gas Tank 0Gas Piping_ Shutters Windows/Doors 11 Electric LI Plumbing OSprinklers 1i Generator E] Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 800.00 S Ft. of First Floor: _ Utilities:5ewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name House Check International LLC Name: M Joe Duran Address: PO Box 881177 Company: First Choice Plumbing Solutions City: Port St Lucie State:F1 Zip Code: 34988 Fax: Phone No. 772-828-9455 Address: 1687 Sw s Macedo Blvd City: Port St Lucie State: F1 Zip Code: 34984 Fax: 772-879-7860 Phone No. 772-879-1414 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: firstchoiceplumbingsolutions@gmail.com State or County License: CFC1427369 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER:. Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: i Not Applicable Name: BONDING COMPANY: Not Applicable 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 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before c mencing—workgs-recordinR your Notice of Com mencemQnt. r� re of Owner as Agent for Owner TE OF FLORIDSTATE JNTY OF Lin. _\ le., [Cour! Contractor/License Ho FLORIDA OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this \Q day of 1�OQ 20 Eby this -day of (\nO , 20 A_Jp by �n 0)z-� (Name of person acknowledging) (Name ofiperson acknowledging) (Signature of No(ar ublic ;State of Florida) Personally Known OR Produced Identification Type of Identification Produced Commission NoTEq5--7©(4(v Revised 07/15/2014 TINA A re of Notary Pub tate of Florida ) Personally Known " OR Produced Identification Type of Identification Produced IOTARY PuBtIC-STA-ra OF FLORIDA COMM. # FF 9157446 MY COMM. EXPIRES 02-03-2026 n No: TINA A RAMALH NOTARY PUBLIC -STATE OF COMM. # FF ss7 MY COMM. EXPIRES 02 - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS