HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-18-16 Permit Number:
S - f, _ 6
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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: 8128 LINKS WAY
Legal Description: THE RESERVES PHASE 1 CYPRESS POINT
Property Tax ID ##: 3327-707-0008-000-9
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 50 GAL ELECTRIC WATER HEATER
LIKE FOR LIKE
Lot No.4
Block No.
CONSTRUCTION INFORMATION:
Additional work to MasTank
orme un er t is permit —c ec a appy:
HVAC 0Gas Piping _ Shutters Q Windows/Doors
® Electric LJ Plumbing []Sprinklers E]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 800.00
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRH USA INC
Name: M JOE DURAN
Address: 8180 NW 29TH ST
Company: FIRST CHOICE PLUMBING SOLUTIONS
City: MIAMI State:FL
Zip Code: 33122 Fax:
Phone No. 305-318-9600
Address: 1687 SW S MACEDO BLVD
City: PORT ST LUCIE State: FL
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: 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 thepermit 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, wails, 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
commencing worker recording vour Notice of Commencement.
re of
as Agent for Owner
ST TE OF FLORIDA
NTY OF
The forgoing instrument was acknowledged before me
this \T day of 1'**%Q•1 , 20 l6 by
(Name of person acknowl
ignature of Notary Pub}mate of Florida )
Personally Knowny OR Produced Identification
Type of Identification Produced
re of Contra
rE OF FLORIDA
NTY OF � Lu, .t e,
The for ping instrument was acknowledged before me
this day of no J , 20 l ro by
(Name ofiperson acknowledgjAg�
gnature of NotaryPublic-,Xaft+s of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission NoPF Mo (Seal) Commission NJ Dc{ (Seal)
TINA A RAMALHO
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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