HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/3012018 Permit Number:
• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 34981
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: d ° ^w' :x..
Address: 10200 ISLE OF PINE CT- PORT ST. LUCIE, FL 34986
Legal Description: CALLAWAY PLACE LOT 6 (OR 3942-2835).
Property Tax ID#: 3321-802-0012-000-4. Lot No.6
Site Plan Name: Block No.
Project Name: Sanitary Drain Line Repair
Setbacks Front Back: Right Side. Left Side
:
DETAILED DESCRIPTION OF WORK:
Excavate at front yard here to remove root or mole shot damaged [undetermined footage] section of
PVC sanitary drain line and install new PVC piping in its place.
CONSTRUCTION INFORMATION:
��itIional ,rk to 1],Twmed under this permit—c et a apply
I,I HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑✓_Plumbing Sprinklers I.J Generator Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1600.00 Utilities: Sewer 1:1 Septic Building Height:
OWNER/LESSEE: ;.,. .. CONTRACTOR:
Name Henry H.Merrill 8 Judith A. Merritt Name: Robert W. Ludlum
Address:10200 Isle of Pines Ct Company: Benjamin Franklin Plumbing
City: Port St.Lucie State:FL Address: 1631 SW South Macedo Blvd
Zip Code: 34986 Fax:n/a City: Port St. Lucie State:FL
Phone No.864-710-8196 Zip Code: 34984 Fax: 772-871-9069
E-Mail:We Phone No. 772-871-9494
FIII in fee simple Title Holder on next page(if different E-Mail: permits@benfranklinplumber.com
from the Owner listed above) State or County License: 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:Rein n.mermi a 3�dun n.memn Name:Robed w.Lmlum
Address:10200 I5LEOFPINECT-PORTST.1_VCIE,FL3,He6 Address: mzoa lde dPiu.e cl
City: Pm stook, State:_ City: Pod St Lude State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:+eat sw so.0 m.mee 6IM 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 anE 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 concurrenry 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 N ice of Commencement must be recorded and poste jobsite
before the first' lion If you i to obtain financing, consult led r or an at ey fore
commencin work o otce of Commencement.
signature of Owner s e/Contractor as Agent for Owner giKature of Contractor/ ' ense Mol er
STATE OF FLORIDA S a� L` e COUNTY OFORIDA _ � I `,e it'STATE O OF U �f,(, Lwt'
The f$r��ing instru ntw acknowledged before me The forgoing instru twos cknowledgeybefore me
this 7JL day of�,20,( — by this day o�2 1%. y
�- W, lll,,,111rrrtUUJJAJ9
Name of persorymaking statement Name of pers making statement
Personally Known V OR Produced Identification_ Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced A uce (�
th
I�� / y RNA
(signature of Nota - tom. f M GG066,9Y (Sign ure of Nota ' +/P/a IR milabNonueryp GGO66ae5
Commission No. G IREJSJpgNary 26,2021 Commission No. Y J(Seal)6,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Property Identification
Site Address: 10200 ISLE OF PINES CT—Port St. Lucie, FL 34986
Parcel ID: 3321-802-0012-000-4- Sec/Town/Range: 22/36S/39E-Account#: 35896- Map ID: 33/22S
Use Type: 0100-Zoning: PUD-Jurisdiction: Saint Lucie County Site Address: 10200 ISLE OF PINES CT
Ownership — Henry H Merritt&Judith A Merritt- 10200 Isle of Pines CT- Port Saint Lucie, FL 34986
Legal Description — CALLAWAY PLACE LOT 6 (OR 3942-2835).
Total Areas:
Finished/Under Air(SF): 2,546-Gross Area (SF): 5,140 -Land Size (acres): 0.34-Land Size (SF): 14,608.