HomeMy WebLinkAboutscan.SLC.PERMIT.APP.ELEC.WTR.HTR.TANK.RPL.WITTE.DAVID.12.07.2017.BFP.PSL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/0712017 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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9424 POINCIANA CT-FORT PIERCE. FL 34951
Legal Description: MEADOWOOD UNIT ONE LOT 9(.17 AC)(OR 3576-1107).
Property Tax ID#: 1334-503-0011-000-3 Lot No.9
Site Plan Name: Block No.
Project Name: WATER HEATER REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installed a new AO Smith 50 gallon electric water heater tank located in garage.
CONSTRUCTION INFORMATION:
iHonal wor to e e orme under is permit—c ec a appy
[]Electric
be
Tank Gas Piping _Shutters ❑Windows/Doors
[]Electric ❑✓_Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 1400.00 Utilities:]Sewer[]Septic Building Height:
O W N ERAESSE E; CONTRACTOR:
Name David) Witte&Margaret A.Witte Name: Robert W. Ludlum
Address:9424 POINCIANA CT 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.772-577-6284 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 conitructlon It$2500 or more,a REC00.0ED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:David d.wile a Margaret A.wine Name:Rxaft w Ludlom
Address:&Y4 POINCIANALT.FORTPIERCE,FLU951 Addr255: 9<24POINCIANACT
City: FORT PIERCE State:_ City: Pod St.Lude State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:lazt sw sdmn Mededd eod Address:
City: City:
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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules,bylaws or an 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,
accessary structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNERRplrouro(
cord a Notice of Commencement may result in your paying twice for
improvements to yourY. e of Commencement must be recorde and posted on the jobsite
before the first inspec to obtain financing, consult with le er r an a before
comment' or or rtice of Commencement.
r �
S WL can Lessee/Contractor as Agent for Owner Signalivili tra or/License Holder
STATE OF FLORIDA �LC,l�1 j "A. COUNTY FLORIDA
COUNTYOF _) ) 6—tvl%f i4J
The fo going Instr ent was acknowI dgggdd�before me The for Ding instruq�nnt was acknowledg efore me
this T cl of 20_nb this day of
lai , 20iby
4 f, ��l cf m
NAME of perso taking statement Name of perso7aking statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type pf don ificatinn Type of Identification
vo oduced Produced
(Signatur of Nota 'It i �I�kir3�N p 00o68aea I(S .ture of Nota ,p1 h I �td MMIS31 N tl O60le1ap
Commission No. Ea Mir
26,302f Commission No.
REVIEWS FRONT ZONING SUPERV150R PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17