HomeMy WebLinkAboutscan.SLC.PERMIT.APP.ELEC.50.GAL.WTR.HTR.TANK.RPL.LIPSIO.RENE.03.12.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/12/2018 Permit Num
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: 7618 Greenbrier Cir- Port St. Lucie, FL 34986
Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 65 (OR
Property Tax ID #: 3322-700-0070-000-8 Lot No. 65
Site Plan Name: Block No.
Project Name: Water Heater Tank Replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORk,":' '
Install AO Smith 50 gallon electric water heater tank in garage
I CONSTRUCTION INFORMATION: III
ll
L�JlHVAC L�Gas Tank
11 Electric ❑✓_Plumbing
Total Sq. Ft of Construction:
Cast of Construction: $ 1976.00
nn—cnecn an appry:
Piping _Shutters ❑Windows/Doors
nklers ❑ Generator Roof = Roof pitch
5Ft. of First Floor:
Utilities:] Sewer D Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: r
Name Rene M. Lipsio
Name: Robert W. Ludlum
Address: 7618 Greenbrier Cir
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:FL
Zip Code: 34986 Fax: n/a
Phone No. 772-448-8130
Address: 1631 SW South Macedo Blvd
City_ Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: nla
Fill in fee simple Title Holder on next page 1 if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.mm
State or County License: CFC1426801
It value at construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
..
DESIGNER/ENGINEER: Not Applicable
Name: Rene M. Lrosio
MORTGAGE COMPANY:
Name: Robert W, Ludlum
Not Applicable
Address: rete Green brier cy- Pon at Lurie, FL 36989
Address: rasa Greenbber Cr
STATE OF FLORIDA
City: Ponal. woe State:_
Zip: Phone
City: Pon sl. Lude
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1931 sw seen laawao ern
Address:
this -/A 20 by
City:
City:
Name of per syl making statement
✓
Zip: Phone:
Zip: Phone:
Personally Known OR Produced Identification
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.
Inconsideration 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 attorn fore
commencing work or recording voaONntice of Commencement. � / /J
Rev. 8/2/17
1
Signa c Owner/ kKee 7ContrActor as Agent for Owner
Signature of ontractor/License Holder
STATE OF FLORIDA �r
l /
STATE OF FLORIDA
COUNTYOF :/�?/17CT/�L�L1Y'
�/ - ./.
COUNTYOF AUC/
The forggoing Instru
cknowledgeQbefore me
r
The fo Ding Instr t was cknowledg efore me
this— ay of
20 by
this -/A 20 by
Name of pers
making statement
Name of per syl making statement
✓
Personally Known ✓
OR Produced Identification
Personally Known OR Produced Identification
Type Identification
Identification,of
roducature
of Nota �'.
i45rpt(e�fkf(5 N OGO66698
(Signature of Notal u MfitgtY@11f1�91dIN GO9894ission
-''
IRES ry26,202[
IRESIYUP_Sue. 26,2021
No.
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17