HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date 10/18/2017 Permit Number:
Building Permit Application
Planning and Development services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 7299 RESERVE CREEK DR - PORT ST. LUCIE, FL 34986
Legal Description: RESERVE OREE(PARGEL41LOT 9ANO TXFTFOIOF 3ECM3 EAW ONWMPOV MOAT MCEN OF 9O LOT ENSUE NO DEG 17 MIN 17 SEC WK PERIMETER OF
TRACT GC -0 154.03 FT, THIS 88 DEG 29 MIN 09 SEC E 12,95 "TO NW COR OF ED WT9, le 901 DEG 82 MIN 10 SEC W ALG W D OF SD LOT 9 15349MO POB (OR 2267249)
Property Tax ID #: 3322-601-0010-000-6 Lot No. 9
Site Plan Name: Block No,
Project Name: WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new AO Smith 50 gallon electric tank -style water heater in rear of garage.
ON INFORMATION:
L JHVAC
LSI
Gas Tank
E]Gas Piping
11 11Shutters
Ll Windows/Doors
11 Electric
W]
Plumbing
Sprinklers
1:1Generator
L1 Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1453.00
Sr Ft of of First Floor: _
Utilities: Sewer E] Septic
OWNER/LESSEE:
Name Terrence P. RICE & Donna M. RICE
Address: 7299 Reserve Creek Dr
City, Port SL Lucie State: FL
Zip Code: 34986 Fax: Na
Phone No. 412-780-8965
E -Mail: Na
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value
or more, a
Building Height:
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: Perm#s@benfranklinplumber.wrn
State or County License: CFC1426801
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Temente P. RICE a Oonna M. RICE
MORTGAGE COMPANY:
Name: Room w. LUowm
_ Not Applicable
Address: 7299 RESERVE CREEK DR -PORT ST. LUCIE,FL0988
Address: 7999Reaerve Geek Dr
City: P.R&Luda State:_
Zip: Phone
City: Pan SLLede
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:1631 sw soum Mateeo Riva
Address:
Ty..f Identifcation
City:
City:
ro10
Zip: Phone:
Zip: Phone:
January 26.2021
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 post c ejobsite
before the fir t inspection. If y tend to obtain financing, consult 'th le ran a before
commen ' recor our Notice of Commencement.
Rev. B/Z/17
Sighature of O er/ LesSWontractor as Agent for Owner
Signeture of Contricto r7Ucense Halder
STATE OF FLORIDA
COUNTYOF C7L(C/U
STATE OF FLORIDA �_ q�
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The fo,ff$$??Ing instrum ,nt a acknowledged before me
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Name of penpry aking statement
Name of person ing statement
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Ty..f Identifcation
Type of Identification
10 L HERNANDEZ
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L HERNANDEZPIRES
January 26.2021
Ir MMISSION 0 OGD6049a (Signature Of......
)ta P A ate on a '
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Commission No. 6�GG (Seal)
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. B/Z/17