HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/29/2017 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
C PROPOSED IMPROVEMENT-LOCATION:
Address: 5 LAKE VISTA TRL 205 - PORT ST. LUCIE, FL 34952
Legal Description: VISTA ST LUCIE BLDG 5 UNIT 205 (OR 3902-2632).
Property Tax ID #: 3422-500-0068-0004 Lot No.
Site Plan Name: Block No.
Project Name: Water Heater Tank Replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORKi Am
Install new AO Smith 30 gallon electric water heater tank inside utility closet under A/C unit.
CONSTRUCTION INFORMATION:
AdIdiit�tlIional work to be enormed
under
Gas Tank
this permit—check all
❑Gas Piping
apply:
Shutters
Windows/Doors
IIL�JIHVAC
tl Electric ❑✓_Plumbing
Sprinklers
II��_II
L,_I Generator
Ll Roof Roofpitch
Total Sq. Ft of Construction:
5Ft.
of First Floor:
Cost of Construction: $ 1450.00
Utilities:
Sewer
OSeptic
Building Height:
OWNER/LESSEE:
Name Harold F Buquoi (TR) & Isabel C. Buquoi (TR)
Address: 26 Lake Vista TRL Apt 103
City: PORT ST. LUCIE State:FL
Zip Code: 34952 Fax: n/a
Phone No. 772-877-2150
E -Mail: 018
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
(CONTRACTOR:
Name: Robert W. Ludlum
Company: Benjamin Franklin Plumbing
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: Permits@benfranklinplumber.com
State or County License: CFC1426801
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
'bESIGNER/ENGINEER
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State: _
City:
State:
Zip: Phone:
Zip: Phone:
_
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
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 antl 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.
Inconsideration 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 inspe you intend to obtain finarcing, consult with lender or an orney before
commencing wor re,rine vour Notice of Contrite icemp
S/r// s
igna ure wrier/Lessee/Contractor as Agent for Owner gna ure of bntrac rise Holder
STATE OF FLORIDA 7 /A` A�-�,
COUNTY OF Z-4 Ar/I
The fol mg instrument was acknowledgeQ before me
this <l�F day of 207H�-by
d4jl vL, lata -
Type of Identific
JanOary 26, 2021
Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF
The forgoing inst(r"u'm7e�nt was acknowledged before me
this�day of (' Li . 20 %z by
K4ph C, v
(Na erson acknowl gi )
ISignature o Notary Public State of FI id I
Personally Known :<' rd14@16ridFr�lNBrNDEZ
Type of Identification a My C_ oMMIS6lONMGG06fia9s
/ PIRES January 26.2021
Commission No. (Seal)
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE MANGROVE
REVIEW REVIEW