HomeMy WebLinkAboutBuilding Permit Application 11/10/2017 16:08 FAX 0 002/003
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11
Date: 11/10/2017 Permit Number: I ► L 1 -03C
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
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PROPOSI;Q 11VIP9OUE. NT LOCATEON .: :..::::...:::.....
Address: 9670 FAIRWOOD CT-PORT ST LUCIE, FL 34986
Legal Description: FAIRWAY LANDINGS PARCEL 9 LOT 6(OR 2566-670:3196-2752)
Property Tax ID#: 3322-500-0010-000-6 Lot No.6
Site Plan Name: Block No.
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Project Name: WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILQ;DESCRLPTIQN OF,UV.O.RK :': °.......`
:.....
Install 50 gallon electric AO Smith water heater tank inside master bi athroom closet,
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�0_NST.RU:CTLp.N.aMFG RMATI:O.N..:.: .....:.....::::.:.::::::::.......:..::,:::<::.:..::.::.:...:. .,::::..:.::.:.........:..:
�tionaI wunder -:.::..:... .... ..... .
HVAC Gas Tank
or to e e orme un ert ispermit—c ec a appy:
❑ inGas Pi _ Window
Piping Shutters ❑ s/Doors
Electric Plumbing ❑Sprinklers 1:1 Generator' ❑ Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1900.00 Utilities: Sewer❑Septic Building Height:
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.,/. EE.. ..... : :::::. , CCINTRACTOR:::
Name Albert and Jane BILLIS Name: RobertW.LUDLUM
Address:9670 Fairwood Ct Company: Benjamin Franklin Plumbing
City: Port St.Lucie State:FLAddress: 1631 SW South Macedo Blvd
Zip Code: 34986 Fax:nla City: Port St. Lucie State:FL
Phone No.772-467-2471 Zip Code: 34984 Fax. 772-871-9069
E-mail:nla Phone No. 772-871-9494
Fill in fee simple Title Holder on next page(if different E-Mail: Permits@benfranklinplumber.com
from the Owner listed above) State or County License:
CFC 1426801
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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11/10/2017 16:08 FAX
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DESIGNER/ENGINEER: NR Applicable MORTGAGE COMPANY: Not Applicable
Name:Albert and Jane BILLIS Name:Robert W.LUDLUM
Address:9670 FAIRWOOD CT-PORT ST LUCIE,FL 34986 Address: 967017almodiCt
City: Port St.Lucio State, City: Port St.Lucie 1 State:
Zip: Phone Zip: -I Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:1631 SW South Macedo Blvd Address:
City: City:
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 thegermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and 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 concurren I cy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another I non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your before first inspecti
pro dty 'A Notice of Commencement must be recorded and postfi�d�n the jobsite
), f your intend to obtain financing, consult with�lender or an 4ttorn6y before
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conWencJt1g_work or T,% rding/Vour Notice of Commencement.
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41fnature oflowKerl Lessee/Contractor as Agent for Owner Signature of Contract icense Holder
STATE OF FLORIDA -�-., STATE OF FLORIDA
COUNTY
COUNTY OF OF
u before me
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iirlt was% PwIedged
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The forgoing instrument was acknowledged before me The forgoing instr _Z by
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this 2' day of 171), 7 0 this
Name of person laking statement Name of perso -making statement
Personally Known ✓ OR Produced Identification Personally Known I�51� OR Produced Identification
Type of Identification Type of Identification
Produced Produced-
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tv, pit A 4111111090
6E� (Signature of Nol
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commNIRM) Commission No. it
Commission No,/' .- •- 1.i _'
'my
26,2021
PIF(is January
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8!2/17