HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/12/2018 Permit Number:
A-0
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: 7400 Laurels PI - Port St. Lucie, FL 34986
Legal Description: PARCEL 15A AT THE RESERVE LOT 18 (OR 3619-2314)
Property Tax ID#: 3322-501-0021-000-9 Lot No. 18
Site Plan Name: Block No.
Project Name: Water Heater Replacement
Setbacks Front Back: Right Side: Left Side:
DETAILED°DESCRIPTION OF WORK:
Install new 50 gallon Rheem tank-style natural gas water heater in garage.
CONSTRkTION INFORIMATION:
Additional work to a er orme under this permit-check a apply:
E1HVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric W] Plumbing 7Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 3500.00 Utilities:0 Sewer Septic Building Height:
.OWNER%CESSEE: CONTRACTOR:
Name Charles&Donna Buscema Name: Robert W. Ludlum
Address:7400 Laurels PI 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.772-242-1966 Zip Code: 34984 Fax: 772-871-9069
E-Mail: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: CFC1426801 /SLC25834
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:Charles&Donna Buscema Name:Robert W.Ludlum
Address:7400 Laurels PI-Port St.Lucie,FL 34986 Address: 740o Laurels Pl
City: Port St.Lucie 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.
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 Not' 4-Commencement must be recorded and posted on the jobsite
before the first irLsQection. If you i 11 o obtain financing, consult with lender or an attorney before
commencink br recordin r tic f Commencement.
Sign`attire of Owner/L!esseeKontractor as Agent for Owner Sign of Contractor Licens er
STATE OF FLORIDA S) STATE OF FLORIDA
COUNTY OF AQt`t�_- COUNTY OF
The for&oing instrumen was acknowledged afore me The forgoing instrument was acknowledged before me
this��'day of -/ , 20 IS by this/t--day of �/� � r, 20 by
Name of pers,o� w/making statement Name of person aking statement
Personally Known 1 OR Produced Identification Personally Knon OR Produced Identification
Type of Identification Type of Identification
Produced P r9elm d
(Signature of Notar # OfviNly��fbN#GG066499 (Si nature of Notar
/ Y COMMISSION#GG0M
Commission No. PIRE�SIyary 26,2021 Commission No CIRES ry 26,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17