HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11-18-16 Permit Number:
J _
s
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34482
Phone: (772) 462-1.553 Fax: (772) 462-IS78 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 2910 SHERWOOD LANE FORT PIERCE FL 34982
Legal Description: SHERWOOD ACRES
Property Tax I D #. 2421-701-0011-000-1
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 40 GAL ELECTRIC WATER HEATER
LIKE FOR LIKE
Lot No. 11
Block No.
CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit —check a appy:
LJHVAC M Cas Tank ❑Gas Piping Shutters E]Windows/Doors
11 Electric IJ Plumbing Sprinklers ❑ Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction. $ 800.00 Utilities: Sewer E Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAGUSTUS JOHNSON
Name: M JOE DURAN
Address:2910 SHERWOOD LANE
Company: FIRST CHOICE PLUMBING SOLUTIONS
City: FORT PIERCE State:FL
Zip Code: 34982 Fax:
Phone No. 772-466-5959
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 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
commencing work or recording vour Notice of Commencement.
04,
ature of Owner/Lessee/Contractor as Agent for Owner
$TATE OF FLORIDA y
COUNTY OF c�A
The foing instrument was acknowledged before me
this day of Xn , 20 -by
\ N% n
(Name of erson acknowledging
1
tz'y�
(Signature of Notary
�Publi�c- of Florida)
Personally Known Y OR Produced Identification
Type of Identification Produced.5
Commission Noir ,70/ (seal)
TINA A fRAMALHO
NOTARY PURL
Revised 07/15/2014
REVIEWS I FRONTZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
re of
kTE OF FLORIDA[' {
UNTY OF
The forgoing instrument was acknowledged before me
this-4dayof V,E"j_�_ 20 &by
(Name of)person acknowledgipg-j1
of Notary Public- State4f Florida )
Personally Known �_ OR Produced Identification
Type of Identification Produced
Commission No S7o
COMM.# FF 957046
MY COMM. EXPIRES 02.03.2020
(Seal)
NOTARY PUBLIC -STATE OF FLORIDA
COMM. # FF 957046
SUPERVISOR I PLANS I VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW