HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/27/2017 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 III
Address: 7858 Poppy Hills Ln - Port St Lucie, FL 34986
Legal Description: POD 26 AT THE RESERVE PHASE It CYPRESS POINT LOT 71 (OR 1524-695)
Property Tax ID if: 3327-709-0026-000-7
Site Plan Name:
Project Name: WATER HEATER REPLACEMENT
Setbacks Front Back: Right Side
Left Side:
Lot No. 71
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALL [11 AO SMITH 50 GALLON ELECTRIC TANK -STYLE WATER HEATER IN GARAGE.
CONSTRUCTION INFOR
L (HVAC L IGas Tank
11 Electric ❑✓_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1500.00
Piping IlL�Jl Shutters
riders L,J Generator
_ 5Ft, of First Floor: _
Utilities: Sewer DSeptic
OWindows/Doors
0 Roof = Roof pitch
Building Height:
.....-........... c. n i .,...room ... , or wmmencemenv rs regwrea.
CONTRA,CT'OR.
Name George R Lambert & Mary V Lambert
Name: Robert W. Luclum
Address: 7958 Poppy Hills Ln
Company: Benjamin Franklin Plumbing
City: Port St Lucie State: FL
Zip Code: 34986 Fax: N/A
Phone No. 772-465-2155
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: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: permits@benfmnklinplumber.com
State or County License: CFC1426801
.....-........... c. n i .,...room ... , or wmmencemenv rs regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
-
DESIGNER/ENGINEER: Not Applicable
Name: ManvLe ben
MORTGAGE COMPANY:
Name: anbenw. LOW
Not Applicable
Address: 7958 Poppy Hills Ln-%nSl Lud.. FL U986
Address: reaaproymxun
COUNTYOFSTATE
City: Ponsleae State:_
Zip: Phone
City: Pon St. Lude
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1631 SW $d M, oend
Address:
Personally Known Y OR Produced Identification
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
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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.
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,
accessary 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 d on the jobsite
before the first inspecti y ' end to obtain financing, consult with ender o a orney before
commencing work or Co R v r Notice of Commencemeae-7--.. ' i
Rev. 8/2/17
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of tractor/Icense Holder
STATE OF ,>_
OF FLORIDA
COUNTYOFORIDA/,,
COUNTYOFSTATE
Thef r oinginstrul le t wp s acknowledged efore me
this2ydaypoof��,Jf, ,20Vby
The r oing instru ent ai acknowledge fore me
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Name ofpers9n making statement
Name of pers making statement
Personally Known Y OR Produced Identification
Personally Known ✓ OR Produced Identification
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Type of Identification
Type of Identification
Produced
Produced
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Commission No. t/ _(-( 1 ea
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Commission No.
plR fjlgj*26, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17