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HomeMy WebLinkAboutscan.SLC.PERMIT.APP.WTR.HTR.RPL.MAXWELL.DARIN.04.10.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/10/2018 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 V PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSER IMPROVEMENT LOCATION: Address: 4708 MYRTLE DR - FORT PIERCE, FL 34982 Legal Description: INDIAN RIVER ESTATES -UNIT 07- BLK 40 LOT 11 (MAP 34/02N) (OR 1614-411). Property Tax ID #: 3402-608-0086-000-5 Site Plan Name: Project Name: WATER HEATER TANK REPLACEMENT Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: J Lot No. 11 Block No. 40 Install AO Smith 50 gallon electric tank -style water heater located inside interior utility room. Aaaltional worK t0 pe ertormea under tnls permit — cnecK all h apply: HVAC Gas Tank OGas Piping _ Shutters Windows/Doors Electric ❑� Plumbing Sprinklers 1:1 Generator E:] Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 1308.00 Utilities:cnSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: �y 3 Name Darin S. MAXWELL Name: Address: 4708 Myrtle Dr City: Fort Pierce State: FL Zip Code: 34982 Fax: n/a Phone No. 772-216-6239 Company: Benjamin Franklin Plumbing Address: 1631 SW South Macedo Blvd City: Port St. Lucie State. FL Zip Code: 34984 Fax: 772-871-9069 Phone No. 772-871-9494 E -Mail: n/a Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: permits@benfranklinplumber.com 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 1NFORMATI©N DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Dadn S. MAXWELL Name: Address: 4708 MYRTLE DR -FORT PIERCE, FL 34982 Address: 4708 Myrtle Dr City: Fort Pierce State: City: Port St. Lucie State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 1631 SW South Macedo 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 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 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 attorney before commencing work or recording our Notice of Commencement. Signature of Owner s e/C tr ctor g nt'for Owner Signature of C ntrac r Holder STATE OF FL STATE 0 FL ID COUNTY OF LINTY OF Uk The forgoing (nstru ent w s acknowle ed efore me this day 0 by The forgoing instrum t wad acknowledge before me this day of 20 by he f 6W�111 ll L ,i% lit f�1 Name of personJxlaking statement Personally Known li' OR Prorkiced Identification Name of persorLn'(aking statement Personally Known OR Produced Identification Type of Identification Type of Identification a /Pro d Produced (Ignature of Notary Public- State o lorida ) ( gnature of Nota Y 10 L� SH,ERNANDEZ Commission No. OMMiS�` RW# GGD66499 •, ,q, .�,,�� EXPIRES January 26, 2021 Commission No. •• ARIO NRNANDEZ MY COMMISSION # GG068499 EXPIREESJanuary26.2 11 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAT COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17