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HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/05/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION`.
Address: 3260 Perigrine Falcon Dr - Port St. Lucie, FL 34952
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40) BLK 66 LOT 16 (OR 3758-225).
Property Tax ID lb 3424-800-0030-000-6 Lot No. 16
Site Plan Name: Block No. 66
Project Name: Water Heater Tank Replacement
Setbacks Front Back: Right Side: Left Side
DETAILED DESCRIPTION OF WORK:
Install new AO Smith Electric Water Heater Tank inside exterior access compartment located on the
right side of house.
CONSTRUCTION INFORMATION:
A110itional WOrK to De enormed under tis permit - check a appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters
I❑I�IIWindows/Doors
❑Electric ©Plumbing ❑Sprinklers 11 Generator l_I Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1400.00 Utilities :nSewer❑Septic Building Height:
Name Jhwl T 1410et,
Name: Robert W. Ludlum
Address: 3260 Pedgrine Falcon or
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:FL
Address: 1631 SW South Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: n/a
Phone No. 772-237-4030
Zip Code: 34984 Fax: 772-871-9069
E -Mail: n/a
Phone No. 772-871-9494
Fill in fee simple Title Holder on next page ( if different
E -Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW, INFORMATION:
Signature of C act
DESIGNER/ENGINEER: + No[Applicable
Name:
MORTGAGE COMPANY:
Name: Rohenw. wdmm
Not Applicable
Address: MOO Nxxne Falwn Dr-Patl 9.L e, FL UOU
Address: 3260Pedi ine Felmnb
COUNTY OF s,. cw:a
City: Pansi. was State:_
Zip: Phone
M
City: Portal was
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1631 sw sowl maxxxo anti
Address:
aaDad w. wdum
City:
City:
Name of person making statement
Zip: Phone:
Zip: Phone:
OR Produced Identification
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 priorto 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.
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
cornmencing work or recordin r tice of Commencemen
Rev. 8/2/17
Signature of C act
lcense Holder
-Signature of Ow ssee/ ontractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF s,. cw:a
COUNTY OF si, «
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this am day of ocmm, 20_ by
this sm day of
20 by
Rolan W. wdiv
aaDad w. wdum
Name of person making statement
Name of person making statement
Personally Known + OR Produced Identification
Personally Known +
OR Produced Identification
Type of Identif at on
Type of Identificatio
Prodyeed
ed
Signature of Not i'r'$ �yj N#0006N88
Commission No. c c IRES @��y 29, 2041
(S ature of Not FyP
Commission No. .y
'Sm� IISfI IF#NGG BOF_
E% I a Jamlffl. 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17