HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/0712017 Permit Number:
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 J
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6129 SPRING LAKE TER - FORT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES -PHASE THREE- (PB 4340) LOT 341 (OR 3551-2220)
Property Tax ID p: 1312-503-0114-000-7
Site Plan Name:
Project Name: Water Heater Tank Repla
Setbacks Front Back:
Right Side: Left Side
Lot No. 341
Block No.
DETAILED DESCRIPTION OF WORK: Ill
Replace failed electric water heater tank in garage with new 50 gallon AO Smith electric water heater.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Bernard and Lise DesJardins
Name: Robert W. Ludlum
itiona wor to e orme under
tis permR—< check
a appy:
Address: 1631 SW South Macedo Blvd
El
ElGas Tank1:1
Gas Piping
_Shutters
Windows/Doors
/❑MVAC
� /Electric 91 Plumbing
❑Sprinklers
Ll Generator
I�I
IJ Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction:$ 1200.00
Utilities:n Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bernard and Lise DesJardins
Name: Robert W. Ludlum
Address: 6129 Spring Lake Ter
Company: Benjamin Franklin Plumbing
City: Fort Pierce State:FL
Zip Code: 34951 Fax: nla
Phone No. 772-713-7957
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: nla
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 varve or conscrucaon 15 >cluu or more, a aeCunuhu Notice 01 Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: aemam and use DeeJeme,a
MORTGAGE COMPANY:
Name: Robed w. Ludlum
_ Not Applicable
Address: 61M SPRING UNKE TER -FORT PIERCE, FL 349el
Add res5: 9129spdn9 Luxe Ter
COUNTY OF
City: FedPlerw State:_
Zip: Phone
City: eoftstwae
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Nat Applicable
Address:1631 sw sdNh MeaMn Riva
Address:
Personally Known OR Produced Identification
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
(Signature of Notar
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 CountX makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con list 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 prope Notice of Commencement must be recorded and poste jobsite
before the first inspectio ou mend to obtain financing, consult with lender or rney b ore
commeoeMwotJwr r ¢ our Notice of Commencement.
Rev. 8/2/17
S nature ner/ Lessee/Contractor as Agent for Owner
Signature of ContractoirlLicensd4older
STATE OF FLORIDA L„<- y/ .. �(�
STATE OF FLORIDA
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EXPIRE6 Jenuery 26. 2021
REVIEWS
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REVIEW REVIEW
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DATE
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DATE
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Rev. 8/2/17