HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/09/2018 Permit Number:
S_
• Building Permit Application
Planning and Development services
Building and Code Regulation Division
1300 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: 3013 APPROACH SHOT WAY - PORT ST LUCIE, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 40 LOT 8 (OR 1764-677)
Property Tax ID #: 3425-707-0181-000-6 Lot No. 8
Site Plan Name: Block No. 40
Project Name: WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: <
INSTALL NEW AO SMITH 30 GALLON ELECTRIC WATER HEATER TANK IN SHED CLOSET.
CONSTRUCTION INFORMATION:
II���lIona war to a er orme under tis permn—c check a appy:
Il1�]lHVAC Gas Tank ❑Gas Piping _Shutters ❑l�IWindows/Doors
),/Electric ❑✓_Plumbing Sprinklers Generator I_I Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1750.00 Utilities:ll Sewer Septic Building Height:
Name Anthony lovine Name: Robert W. Ludlum
Address: 3013 Approach Shot Way Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:RL Address: 1631 SW South Macedo Blvd
Zip Code: 34952 Fax: n/a City: Port St. Lupe State: FL
Phone No. 772-879-1262 Zip Code: 34984 Fax: 772-871-9069
E -Mail: n/a Phone No. 772-871-8494
F! ll in fee simple 71tle Holder on next page ( if different E -Mail: permits@benfranklinplumber.com
from the Owner listed above) State or County License: OCFC1426801 1#23584
Rvalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: Anmony s mine
_ Not Applicable
MORTGAGE COMPANY:
Na me: Resort W. wdwm
_ Not Applicable
Address: 3013APPROACH SHOT WAY
PORT ST LUCIE. FL U952
Address: 3m34P—s-wey
The for�P. ng instrumg�,'�yes acknowledge before me
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City: Pon StAude
Zip: Phone
State:
City: Pod SL Luck,
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: I831swsou%%w aIM
Type of Identification
Address:
Produced
City:
City:
Zip: Phone:
(Sign ore of Notary J*r ST4W6 ION 9 GGNUN
Zip: Phone:
Commission Na. 7.Q' up�ary29.2021
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 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 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 roams 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 intenobtain financing, consult with lender or an attorneyfore
commencing work or recording Notice o Commencement— O /
Rev. 8/2/17
Sig ure of Owne see/Co or as Agent for Owner
gnatuT of Ca r/L a se Hol
STATE OF FLORIDA
STATE F FLORIDA
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COUNTYOF (3�7YlIv�� LL/.NiIY
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The for�P. ng instrumg�,'�yes acknowledge before me
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this �' day f f�!'i0 ,2 /3 by
this K' day 4�i/. 20 by/
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Name of per making statement
Name of person making statement
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Personally Known _ OR Produced Identification
Personally Known OR Produced I ntification
Type of Identification
Type of Identification
Produced
Produced
NHFIRNANDEZ
igrature 81 Notary F tjFi _ 6WAIISION%G000499
(Sign ore of Notary J*r ST4W6 ION 9 GGNUN
Commpipf mounry N. 2021
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ission No. all
Commission Na. 7.Q' up�ary29.2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17