HomeMy WebLinkAboutscan.SLC.PERMIT.APP.ELEC.WTR.HTR.TANK.RPL.HINES.VALERIE.11.15.2017.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/15/2017 Permit Number:
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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 4
PERMIT APPLICATION FOR: Plumbing
OPOSED IMPROVEMENT LOCATION:
Address: 7658 Red Crossbill Cl - Port Saint Lucie, FL 34952
Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40) BLK 68 LOT 4 (OR 2532-363).
Property Tax ID #: 3424-800-0046-000-1 Lot No.4
Site Plan Name: Block No. 68
Project Name: ELECTRIC WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:`'"
Install new 50 gallon electric water heater located inside laundry room closet.
CONSTRUCTION INFORMATION:
iona wor to )e]qorrned un ert ispermit—c hecka appy
:
OIHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
La (Electric ✓❑_Plumbing [:]Sprinklers Generator Roof Roofpitch
Total Sq. Ft of Construction: S� Ft of of FirstIF�looIr:
Cost of Construction:$ 1400.00 Ll Sewer[] Septic Building Height:
Name Valerie J. Hines Name: Robert W. Ludlum
Address: 7658 Red Crossbill Ct Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:FL Address: 1631 SW South Macedo Blvd
Zip Code: 34952 Fax: Na pt,; Port St. Lucie State: FL
Phone No. 772.3442899 Zip Code: 34984 Fax: 772-871-9069
E -Mail: IllPhone 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 more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Valane 3. Rmaa
MORTGAGE COMPANY:
Name: Reban w wdium
Not Applicable
Address: 1650 Red Lmseblll OL PM Sant Lude, FL 30952
Address; ?658 Rx1Cmsw11C1
COUNTY OF SSA.GT/7
,
City: Pon01.LWe State:_
Zip: Phone
city: PM SI. LUpa
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1631 Mw uh Macetlo aiw
Address:
Personally Known ✓ryOR Produced Identification _
City:
City:
Type of Identification
Zip: Phone:
Zip: Phone:
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 Co={y makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in confict 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 posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or reeordiara vour Notice of Commencement. n
I
ature of Owner/Lessee/Contractor as Agent for Ownerat
re cifContractorATce older
STATE OF FLORIDA , c
STATE OF FLORIDA p _
COUNTY OF �7r��N(I luiO/L�
COUNTY OF SSA.GT/7
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The forgo. forgo. instruments�as� knowledged before me
day 21� —
The forgoin instrument was acknowledged b fore me
this day 20�y
this of 20� by
of �i/Ol�
Name of person aking statement
Name of per making statement
Personally Known ✓ryOR Produced Identification _
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Nota �: ,j'lir g��. � kf$�N x oGIMea9a
(Signature of Not
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Commission No.
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Commission No Ioed�)
EXPIRES January 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