HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 18, 2018 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 III
PROPOSED IMPROVEMENT LOCATION:
Address: 7640 Greenbrier Cir - Port St. Lucie, FL 34986
Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 54 (OR 3976-861).
Property Tax ID #: 3322-700-0059-000-5 Lot No. 54
Site Plan Name: Block No.
Project Name: Water Heater Tank Replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 80 gallon tank -style electric water heater in garage.
CONSTRUCTION INFORMATION: ;II
rtmna wo. m
IIIL��IIIHVAC "Gas Tank UGas Piping
L_IElectric ❑✓_Plumbing []Sprint
Total Sq. Ft of Construction:
Cost of Construction: $ 2450.00
Shutters ❑Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities. Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter M. Paszek
Name: Robert W. Ludlum
Address: 7640 Greenbrier Cir
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:FL
Zip Code: 34986 Fax: n/a
Phone No. 772-577-6712
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: We
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E -Mail: pennits@benfranklinplumber.com
State or County License: CFC1426801 / SLC23584
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
—:-,.1111/ e:..,: rvi,cn: _ rvot App icaome MORTGAGE COMPANY: _ Not Applicable
Name: Peter m_ aassakw wdwm
Name:Reeen
Address. rea6 �emerar-Ron s. woe, rc xae6 Address: >eao creanmxcr
City: Penst.wne State:_ City: Pod st.wde State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: 1631 sw 6eu16 Mecedo emd Address:
City: City:
Zip: Phone: Zip: Phone:
)WNER/ CONTRACTOR AFFIOVIT: A—H-11 .., :. Re.et,.,
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 Association rules, bylaws or antl 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. i1f yo intend to obtain financing, consult with lender or an ttorney before
commenrinE work or recoF ur Notiep of fnmmpnrpmpnr
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IT na ur o Own a ee/Contractor as Agent for Owner
lgnature of Contractor/License Holder
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