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Home My WebLink AboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: February 1, 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 PROPOSED IMPROVEMENT LOCATION: Address: 48UJ Juanita Ave - Fort Pierce, FL 34946 Legal Description: HARMONY HEIGHTS ADDN NO 3 BLK B LOT 16 (0.17 Property Tax ID #: 1431-703-0036-000-6 Site Plan Name: Project Name: Water Heater Tank Replacement Setbacks Front Back: Right Side: Left Side: Lot No. 16 Block No. B Install 50 gallon AO Smith electric tank -style water heater inside utility room off garage. VV CONTRACTOR: 12. Tank uuc^of_ Vry❑JHVAC Shutt ❑Windows/Doors 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: Na Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: permits@benfranklinplumber.com ers ❑ Plumbing ❑prinkle11Generator 0 Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction: $ 975.00 Utilities: Sewer DSepte Building Height: OWNER/LESSEE: CONTRACTOR: Name Naomi 8 Willie Sanders Name: Robert W. Ludlum Address: 4803 Juanita Ave Plumbing Com an Benjamin Franklin Plumbing Y City: Fort Pierce State:FL Zip Code: 34946 Fax: nla Phone No. 772462-1777 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: Na 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 1#23584 _.-_..-••_-••-••••+----. ...W"o=— W—W,VUL w wmmencsmenus regmreo. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: N.111 a were sanders NOt ApPlicable MORTGAGE COMPANY: Name: Robed w Ludium Not Applicable Address: 4803 Juanita Aw- Fob Pie,w, FL U918 COUNTYOF��/, Address: Min JuanilaAve The for oing instruryryeenntJ�'as acknowledged��b}}fore me this�day ofYl/, 201Yby City: Fon Pix® Zip: Phone State: _ City: Pail St. Woe Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY; Name: Not Applicable Address:1631 aW souu Meeede BIM Produced Address: City: (Signature of Nota rt - a City: " MY OMMIj, ION # GG6601o9 Zip: Phone: Commission No. PIRES fyy 26.2621 Zip: Phone: FRONT 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 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 and covenants that may restrict of 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 a rney before cornmencing work or reULIding voi4rNotice of Commencement Rev. 8/2/1 Signa rOwner/ Contractor as Agent for Owner Signatbreof Contract /Lice alder STATE OF FLORIDA may,, �� STATE OF FLORIDA COUNTYOF r - t yyy COUNTYOF��/, The (ar oing instru ent �a2s/�a�cikyno!w/ledgeQQbefore me this day of�20jY by The for oing instruryryeenntJ�'as acknowledged��b}}fore me this�day ofYl/, 201Yby Name of person aking statement Name of perso making statement Personally Known ✓ OR Produced Identification _ Personally Known ✓ OR Produced Identification Type of Identification _ Type of Identification Produced Produced (Signature of Notary - ao. (Signature of Nota rt - a COMMIS ION # GG681MSa " MY OMMIj, ION # GG6601o9 YYa-- pMY Commission No. F -C PIRQSNijuary 26. 2027 Commission No. PIRES fyy 26.2621 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/1