HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 5/2612 01 7 Permit Num
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 R, sidential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 1704 Wyoming Ave - Port Saint Lucie, FL 34982
Legal Description: ORANGE BLOSSOM ESTATES BLK 1 LOW (0.21 AC) (OR 427-1
Property Tax ID N: 2421-601-0007-000-3
Site Plan Name:
Project Name: Exterior main water suplat
Setbacks Front Back:
service line repair
Right Side: Left Side:
Lot No. 7
Block No. 1
DETAILED DESCRIPTION OF WORK: III
Replace compromised water supply line with new exterior 40' water supply service line run from
existing meter to inlet at main riser located on right side of home and replace old main shut off valve
with new 3/4" ball valve.
CONSTRUCTION INFORMATION: III
HVAC Gas Tank ❑Gas Piping 1:1 _ Shutters 0 Windows/Doors
11 Electric ❑✓_Plumbing Sprinklers 0Generator ( IRoof Roofpitch
Total Sq. Ft of Construction: 5Ft, of First Floor:
Cost of Construction:$ 925.00 Utilities:12 Sewer Septi Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Rohit & Ranjana PATEL
Name: Robert W. LUDLUM
Address: 1704 Wyoming Ave
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Zip Code: 34982 Fax: file
Phone No. 772-979-1540
Address: 1631 SW South Macedo Blvd
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-071-9069
Phone No. 772-871-94941
E -Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.cont
State or County License: CFC1426801
a varve or construction is pa>w or more, a ncwnucu rvotice or commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ill
Name:
Address:
City: State:_
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable II
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Pho e:
I certify that no work or installation has commenced prior to the issuance of a permit
In consideration of the granting of this requested permit, I do hereby agree that I will, in all
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Am
The following building permit applications are exempt from undergoing a full concurrency i
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may
improvements to your property. A Notice of Commencement must be recor
before the first inspection. If you intend to obtain financing, consult with ler
STATE OF FLORIDA 1
FRONT
COUNTY OF . S/
Gt�c�L O..('�7/
Thefo nginstrument
acknowI dgedb fore me
this, day of_
20Ky
Type of Ider
Commission
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF
The forgoing ins
this 1�7 day of
(Name of person
Type of Identific
Commission No.
build
the work
w: room additions,
another non-residential use
ult in your paying twice for
and posted on the jobsite
or an a=rnev before
me
REVIEWS
FRONT
ZONING
SUPERVISOR
IN
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Page I of I
Plumber:
Benjamin Franklin Plumbing [FL Lic. #CFC 142680
PAPA
12
38
1704 Wyoming Ave — Fort Pierce, FL 34982
Parcel ID:
2421-601-0007-000-3
Description of Work:
Add new exterior 40" water supply service line run f
N\/F08
22
" ball valve.
( 838)
22
2.
Add new shut off %" ball valve at house riser inlet.
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( 584 )
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5
31
12
28
28
OAS
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20
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(35)
Plumber:
Benjamin Franklin Plumbing [FL Lic. #CFC 142680
].
Carlos DeLeon
Work Site Address:
1704 Wyoming Ave — Fort Pierce, FL 34982
Parcel ID:
2421-601-0007-000-3
Description of Work:
Add new exterior 40" water supply service line run f
om meter to inlet located at
main riser located on right side of home; add new'
" ball valve.
Proposed: 1.
40' of new supply line add at exterior; underground
2.
Add new shut off %" ball valve at house riser inlet.
http://www.pasle.org/ImageSketch/api/sketches/28968/31952 5/26/2017