HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/19/2018 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 d
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6007 FORT PIERCE BLVD-FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 5-BLK 52 LOT3(MAP 13/02S) (OR 1727-2540;2980-867).
Property Tax ID#: 1301-605-0269-000-7 Lot No 3
Site Plan Name: Block No. 52
Project Name: WATER HEATER TANK REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace failed 50 gallon electric water heater tank in laundry room area of garage - tank warranty.
CONSTRUCTION INFORMATION:
AildriOnal wor
k to trtormed under t ispermit—check all ppy:
In
I❑�IIHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
l.,�l Electric ❑✓_Plumbing ❑Sprinklers ❑Generator ❑Roof Rootpitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 300.00 Utilities: Sewer❑septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Lynda L Dreas Name: Robert W, Ludlum
Address:6007 Fort Pierce Blvd Company: Benjamin Franklin Plumbing
City: Fort Pierce State:FL Address: 1631 SW South Macedo Blvd
Zip Code: 34951 Fax:n/a City: Port St. Lucie State:FL
Phone No.772-501-3693 Zip Code: 34984 Fax: 772-871-9069
E-Mall:n/a Phone No. 772-871-9494
Fill in fee simple Title Holder on next page(if different E-Mail: Permits@benfranklinplumber.com
from the Owner listed above) State or County License: FL#CFC1426801 /SLC#23584
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Lys d L Dreas Name:Roden w.LudIUM
Address:6M7 FORT PIERCE BLVD.FORT PIERCE,FL U951 Address: 6007Fan PIvn,8Ivd
City: ran Pie• State: City: Pod al.Lucia State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:1631 swsaam Meaedn Blvd Address:
City: City:
Zip: Phone: Zip: Phone:
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 an tl 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 fallowing building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary 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 inspe ion. If yo in d to obtain financing, consult with lender or an att r efore
commencin ork ecordin r otice of Commencement.
i
Signaldre of wner/Le /Con actor as Agent forOwner Signature of Contractor /ennsse 1oldeAr
COUNTY OFSTATECIFFLORIDAI .. _ y �OUNTV OF OF ORIDA ky1, l/ —�fpza ,
The for ing instrum t as acknowledged before me The for aing instru was aM/ckoa✓wiJedge fore Cme
this day of�20 �� thisdf�Of6yl
N/aammee ooffnpr�er on making statement Name[o(f,�p,(/,sso'n making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
rod Produced
(Signature fNotaryP .0F ,�_ yCOMMIS10N NGGOBN9S (signature of r o�.•• IpIidAAR
r ' 1 . SSBON N GGaBSs99
Commission No. E%PIR(galFnuny 25.7021 Commission N i ES Lmul9@blj��s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17