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HomeMy WebLinkAboutbuilding permits ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/30/2018 Permit Number: ter' Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-i5S3 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 5713 Papaya Dr-Fort Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES-UNIT 09-BLK 80 LOT 24(MAP 34/12N) (OR 2562-1105). Property Tax ID#: 3402-610-0315-000-7 Lot No 24 Site Plan Name: Block No. 80 Project Name: Water Heater Replacement Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: I Install a 40 gallon AO Smith electrical water heater tank in garage. CONSTRUCTION INFORMATION: II��,[II,ona war to a er orme un ert aperm,t—c ec a app y: llL�_lIHVAC Gas Tank ❑Gas Piping l��_II Shutters ❑Windows/Doors OElectric ❑✓_Plumbing ❑Sprinklers 11 Generator 11 Roof Roof pitch Total Sq. Ft of Construction: SrI�Ft.I of First Floor: Cost of Construction:S �7�©� Utilities: I]Sewer❑Septic Building Height: O W N ER4ESSEE: CONTRACTOR: Name LuAnne J. Keen Name: Robert W.Ludlum Address:5713 Papaya or Company: Benjamin Franklin Plumbing City. Fort Pierce State:FL Address: 1631 SW South Maoedo Blvd Zip Code: 34982 Fax:n/a City: Port St. Lucie State:FL Phone No.772-460-6262 Zip Code: 34984 Fax: 772-871-9069 E-Mail:We Phone No. 772-871-9494 Fill in fee simple Title Holder on next page(if different E-Mail: permits@benfranklinplumber.cem from the Owner listed above) State or County License: CFC1426801 /SLC23584 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:Lwmoe J.Keen Name:Roden w Ludlum Address:5713 Pepa,.De-Fad Plern, FLN932 Address: 5713P.M.D1 City: F.n Pl4'm State:_ City: Pon R was State:_ Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address:1631 sw8..m Mecedn WW 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 priorto 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 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. 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, accessary 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 intend to obtain financing, consult with lender or an attor before cornmencing work or recording r of Commencement. Signature of wner es a ontmctor as Agent for Owner I e of Contract Icense Holder STATE OF FLORIDA C+ f , _ �,� COUNTY OF FLORIDA C 1rl� STATEO COUNTYOF 1R.t LUa ✓tLf. T The forgoing instrume was ac nowledged before me The for Ding instru nt was cknowI dged efore me this 30 day of vr,�t .20�by this day of I T 20�by W0&41-f bV. W(U01- kohe✓� W wtam_ Name of personpraking statement Name of persorymaking statement Personally Known (/ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced �fN NANDEZ (Signature of Nota $tats a p GG08e,1yy (Signature of Not rS', ic• 'yadN p pO06'499 Commission No. [ IREB 26,2021 i Commission No. B.la^u°ry 26,2a2t �z Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev,8/2/17 BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982 • _ 772-462-1553 FAX 772-462-1578 AUTHORIZATION FORM FOR CREDIT CARD PAYMENT TO: St Lucie County RE: /�GH/kelglzt'! +D BLS Permit # T By rIG-f�/^/Tvyi Credit Card Users: 1.5%Surcharge added per transaction. Payments must be received in this department by 4:00 PM for transaction to be processed that day, if not it will be processed the following business day. VISA MASTERCARD Credit Card Number 3/SZ r/7S/ OA/ Expiration Date /O/2023 Zip Code 3z/9,P57 3 digit security code ' .34G Amount $ A11.1OJ + 1.5% surcharge Business Name: ,, Authorized Signature: Print Name: O .411lD /- A PZ- Phone: (=) 5?7L- -�— Fax: LZZ -) 817/ - Comments: u/�2n2 Pvi �57� -1 Aua Dom. SLCPDSD Revised 4/01/2010 EN