HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9122/17 Permit Number:
• 1
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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5842 HONEYBELL CT 39A, FORT PIERCE, FL 34982
Legal Description: THE GROVE CONDOMINIUM -SECTION ONE- UNIT 39A (OR 1440-90)
Property Tax ID #: 3410-507-0153-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
INSTALL 30 GALLON ELECTRIC WATER HEATER IN CLOSET
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit —check all that appy:
HVAC Gas Tank []Gas Piping 11 Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator F] Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name ALICE JONES
Name: ROBERT LUDLUM
Address: 5842 HONEY BELL CT 39A
Company: BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-871-9494
Address: 1631 SW S MACEDO BLVD
City: PORT SAINT LUCIE State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-9494
E -Mail: PERMITS@BENFRANKLINPLUMBER.COM
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
IT value OT construction is 5zSUU or more, a RECORDED Notice of Commencement is required.
Rev. 8/2/17
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name: ALICE JONES
MORTGAGE COMPANY: Not Applicable
Name; ROBERT LUDLUM
Signature of Contractor/License Ho er
Add reS$; 5542 HONEYBELL CT 39A, FORT PIERCE, FL 34982
Address: 5842 HONEY BELL CT 39A
COUNTY OF 5�,
COUNTY OF 154 ".�
The forgping instrument was acknowledged before me
City: FORT PIERCE State:
Address:
City: PORT SAINT LUCIE State:
City:
Zip: Phone
Zip: Phone:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Produced
Name:
Name:
(Signature of Notary Public State of Florida )
Commissio N;�.:• V PR61fti)tC
Address:
COMMISSION # GG051451
MY COMMISSION # GG051451
November 30, 2020
XPIRES November 30, 2020
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 a attorney before
commencingwork or r ordin our Notice of Commencement. ,
SUPERVISOR
VLU N
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Ho er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5�,
COUNTY OF 154 ".�
The forgping instrument was acknowledged before me
1631 SW S MACEDO BLVD
Address:
this Aat-k day of 20_L -_l by
City:
aty:
Personally Known OR Produced Identification
Zip: Phone:
Zip: Phone:
Type of Identification
Rev. 8/2/17
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Ho er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5�,
COUNTY OF 154 ".�
The forgping instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this aa� day of 20 t_� � by
this Aat-k day of 20_L -_l by
Name of person -making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public State of Florida )
Commissio N;�.:• V PR61fti)tC
Commissi n N�,�MORA V PPIOMMi)
COMMISSION # GG051451
MY COMMISSION # GG051451
November 30, 2020
XPIRES November 30, 2020
REVIEWS
PLANS
MANGROVE
ZONING
SUPERVISOR
VLU N
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED