HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/05/2018 Permit Number:
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce Ft 34981
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8315 MUIRFIELD WAY - PORT ST LUCIE, FL 34986
Legal Description: POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 4 (OR 1998-2524: 4074-164).
Property Tax ID #: 3328-802-0007-000-7
Site Plan Name:
Project Name: Water Heater Tank Repla
Setbacks Front Back:
PTION OF WORK:
Right Side: Left Side:
Install AO Smith 50 Gallon Electric Water Heater Tank in Garage.
UCTION INFORMATION:
t_IHVAC LJ Gas Tank
11 Electric ❑✓_Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2000.00
Piping
ars hl Generator
SFt. of First Floor:_
Utilities: Sewer Septic
Lot No.4
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE: '
CONTRACTOR:
Name Susan B. COHEN
Name: Robed W. LUDLUM
Address: 8315 Muimeld Way
Company: Benjamin Franklin Plumbing
P Y:
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: Ills
Phone No. 772-971-6212
Address: 1631 SW South Macedo Blvd
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n/a
FIII 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
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: sown o. COMEN
MORTGAGE COMPANY:
Name: eoben W. wOILM
_ Not Applicable
Address: 8315 WINFIELD WAY -PORT ST WOE. FL 30986
Address: 8315MUIMeIa Way
COUNTY OF
City: Potl BL L�d. State;_
Zip: Phone
City: Peabnurle
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: leas awaoumla c otxW
Address:
_
Type of Idend icatio
City:
City:
PpedFiced—
Zip: Phone:
Zip: Phone:
ANDZZ
DWPi LON 1 MAL -FOR 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 ay ermit 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,
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 intend to obtain financing, consult with lender or an attorn y before
commen ' ork or re in our Notice of Commencement
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aure of owrerlLessee/Contractor as Agent for Owner
Signatu o ontractor cenns�e Holden'
STATE OF FLORIDAL
STATE OF FLORIDA
COUNTY OF��
COUNTY OF
The for g instru t was acknowledged before me
this f day of 'rl 20_4by
The for g instrum was acknowledged efore me
this ay Of 20(6_
Name of person making statement
Name of person aking statement
Personally Known ✓ OR Produced Identification
Personally Known �nOR Produced Identification
_
Type of Idend icatio
Type of Identification
Pr doted 16
PpedFiced—
i/
lignakureof
ANDZZ
(Signature of Nota ?lFul q dwidelbN n GGO S
Notal a $t ��ibN k GGeeeaai
P ES January 2fi. 2021er(1
Commission No. ^ (Seal(
Commission No� L� 3� J uely 28, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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