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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