HomeMy WebLinkAboutscan.SLC.PERMIT.APP.ELEC.WTR.HTR.TANK.RPL.DELP.DANA.11.15.2017.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/1512017 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 V
PERMIT APPLICATION FOR: Plumbing
PROPOSEDiMPROVEMENT LOCATION:
Address: 5817 SPANISH RIVER RD - FORT PIERCE, FL 34951
Legal Description: PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 300 (OR 3182-2738; 3735-819)
Property Tax ID #: 1312-502-0124-000-7 300
Lot No.
Site Plan Name: Block No.
Project Name: WATER HEATER TANK REPLACEMENT [OWNER SUPPLIED]
Setbacks Front Back: Right Side: Lek Side:
DETAILED DESCRIPTION OF WORK:
REPLACE FAILED ELECTRIC WATER HEATER TANK WITH NEW ELECTRIC WATER HEATER
TANK [OWNER SUPPLIED - WARRANTY] LOCATED IN GARAGE.
CONSTRUCTION INFORMATION:
��rtlIiona workto e er orme un I I1 is Permit -c ec a appy:
Gas Tank ❑Gas Piping Windows/Doors
llL�II(HVAC _Shutters j�
11 Electric OPlumbing Sprinklers Generator I (Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 700.00 Utilities: Sewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR: ,>..
Name Dana L. Delp &Elizabeth A. Delp
Name: Robert W. Ludlum
Address: 5817 Spanish River Rd
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Address: 1631 SW South Macedo Blvd
Zip Code: 34951 Fax: n/a
City; Port St. Lucie State: FL
Phone No. 772-242-8954
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
from the Owner listed above)
State or County License: FL CFC1426801; SLC #23584
If value of construction is $2500 or mare, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER. _Not Applicable
Name sant L.oeio aEA.o.
MORTGAGE COMPANY:
Name: Roeen wLud.m
— Not Applicable
RIVER -
Address: sen sPnulSR ivER Ro FORT PIERCE FL ar851
Address sen sP.nl.n w.e, Re
OFORIDA_/.
City: Fal Piwm State: _
Zip: Phone
City: Pon St Luee
Zip: sa%sl Phone:
State: FL
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:1631 sw seIu N.c Ew
Address:
Personally Known ✓ OR Produced Identification _
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
-•• •v ..... • r.....i vn nrr+vvl i s Hppl;cabon 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 Counttyv 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 propert . Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. ou intend to obtain financing, c It with le der oraga rney before
comm n w k or rec i our Notice of Commencem t
ature of Owner/Le a Contractor as Agentfor Owner
5 ture Con acts/i ense Holder
STATE OF
COUNTYOF ORIDAC_J_y„n [„
COUNTY
OFORIDA_/.
The forgoinginstrum nt as acknowledged before me
this S%d7ay�of/{V�/ 20[Z by
The fors' instrument as acknowledged efore me
this LS da f 20 by
A�ZW
Name of persorymaking statement
Name of persol aking statement
Personally Known ✓ OR Produced Identification _
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature ofNota ? ; '. 3FY Qt�tHtflliflbN # GG068259
(Signatu/ -re of Not j?b flta ri aNU
IRES ,lanytary 25.2021
Commission No.
OMMISS ON p GG068t98
(Seal)
Commission No. IRESy26,2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
I- Pnn-.