HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/2112017 Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2900 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential J
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 100 HILTON DR FORT PIERCE, FL 34949
Legal Description: SHERATON PLAZA UNIT 2 REPLAT LOT25 (OR 1
Property Tax ID q: 1432-805-0025-000-2
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
RUN A NEW WATER SERVICE SUPPLY LINE FROM METER TO SIDE OF HOME TO EXISTING
HOSE BIBB.
Lot No. 25
Block No.
CONSTRUCTION INFORMATION: - III
HVAC L-1
Gas Tank
❑Gas Piping
U
❑Windows/Doors
Company: Benjamin Franklin Plumbing
Electric ❑✓_Plumbing
Address: 1631 SW South Macedo Blvd
Sprinklers
E -Mail: We
�I_IShutters
11 Generator
0
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1875.00
SFt. of First Floor: _
Utilities:"t Sewer D Septic
Building Height-
OWNER/LESSEE:
CONTRACTOR:
Name Linda B. CHESTER
Name: Robert W. LUDLUM
Address:100 Hilton Or
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Zip Code: 34949 Fax: nla
Phone No, 772-332-7046
Address: 1631 SW South Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No, 772-871-9494
E -Mail: We
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
in valve of construction Is pZ]pp or more, a RECORDED Notice at Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone.-
hone:FEE
State: _
FEESIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit
St. Lucie Coun,y 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 exemptfrom 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. Ifyyu intend to obtain financing, consult with lender or 44ttorney before
STATE OF FLORIDA , STATE OF FLORIDA �/
COUNTY OF :3/'GLIG/L COUNTY OF <�'e4y_" i
The fog ing instrument�.�,was acknowledged before me
this day of lri,. 20/Zpy
%%%ri0 L irr��e�y
(Name of person acknowledgin
(Signature of Nota - tate of Florida )
Personally KnowWRES(gulgil'y
g k 8
Type of IderdficaCommission No. 28.2021
Revised 07/15/2014
The forgoing instrurrient was acknowledged before me
ihis,�24day of 20 o2 by
(Name of person acknowledging I
(Signature of NotaryNublicjffite of Florida
Type
Commission No.
2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
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REVIEW
DATE
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