HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/02/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Plumbing
Address: 103 BEACH AVE - PORT ST LUCIE, FL 34952
Legal Description: RIVER PARK -UNIT 3- BLK 5 LOT 13 (MAP 34/22S)(OR 3930-1708).
Property Tax ID #: 3419-515-0040-000-8
Site Plan Name:
Project Name: WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
INSTALL 50 GALLON ELECTRIC WATER HEATER TANK IN LAUNDRY ROOM
INFORMATION:
Lot No. 13
Block No. 5
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1Il:
I(HVAC
CONTRACTOR:
onnen
Gas Tank
Under Ins permn—CneCK all
❑Gas Piping
Address: 103 Beach Ave
apply
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Address: 1631 SW Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-9494
E -Mail: 'Ila
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
_Shutters
State or County License: CFC1426801
Windows/Doors
llL�
L (Electric ❑✓_Plumbing
Sprinklers
Generator
lel Roof Roofpitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:$ 1500.00
Utilities:
Sewer
DSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christopher& Maryann DURANTE
Name: RobertW. LUDLUM
Address: 103 Beach Ave
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: Wait
Phone No. 540-553-6872
Address: 1631 SW Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax:
Phone No. 772-871-9494
E -Mail: 'Ila
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
•• -.••._.. 6 x566or more, ......... nonce or r.ommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: cnrelopMaFs marva=n oURANTeName:
MORTGAGE COMPANY:
w Rooen W.W.
Not Applicable
Address: iW BENCHFVE - PORT ST WCIE,FLN852
Address: +oa eeacn A.=
City: Pan Btwde State: _
Zip: Phone
City: PaM1 SY. Lude
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address: +ea+ awmawaa BW
Address:
Pr ed
City:
City:
(Signature of Notary Public- f Florida)
Zip: Phone:
Zip: Phone:
/Stat
Commission No. f -(e 9 (Seaq
.. ••�r car. i RAC OR nrnsrvu: Appucabon 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 Counttyy 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 Assgnation 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.
Inconsideration 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 legiefer or attorney before
Commencing work or ,d r...,,..,e.,.e.,...... �
signature of Own essee ontractor as Agent for Owner
liIenfiture of Co actor/License Holder
J
STATE OF FLORIDA {—QyJy
COUNTYOF �r�/,I,/Ar..>�
STATE OF FLORIDA
COUNTY OF �S 7J dF
The fo.rgqoing instr ent was a knowledged fore me
this dayof /I /2--0/ /b
The for ing Instru nt was ackn wledged fore me
this daay.
Name of perso making statement
Personally
Name of person king statement
Known ✓ OR Produced Identification
Personally Known,/ OR Produced Identification
Type of Identification
Type of Identification
Pr JI
Pr ed
(Signature of Notary Public- f Florida)
(Sign ture of Not ry Pu lic-S/tate of to da )
/Stat
Commission No. f -(e 9 (Seaq
Commission No. '�QO (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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