HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 23, 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: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8 Guava Ln- Port St. Lucie, FL 34952
Legal Description: ST LUCIE GA R DENS 2636 AD ELKS 1 AN D 2 LYG ELY Of US N1 R=-LESS RD RSM AND LESS AS IN OR 52535-24302544-2463:2547-1528.2554-1237'25632398,24172570.2920:2625-1174:26-2626:2692-15472705-1881:27892349'
2797-0242:2798-1412:2819-1674,1686:2826-28%2828-2528'.2835-2433:2878-419:3033271:3040-2030:�1238:3051-397:W77-94:3114-1162,1236:3163-219:3165-1337'.320 2516:321&2861:3226-2272:324-1:3288-2268:3269-1227:329 658:3307-1"3M2 23 3324.2;
Property Tax ID#: 3414-501-1701-000-9 [Parent Parcel & ID] Lot No.8
Site Plan Name: Block No.
Project Name: Water Heater Tank Replacement
Setbacks Front Back:_ Right Side: Left Side:_
DETAILED DESCRIPTION OF WORK:
Install 50 gallon tank style electric water heater in closet under carport.
CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit—check a apply:
11HVAC Ei Gas Tank Gas Piping In Shutters a Windows/Doors
11 Electric [z] Plumbing Sprinklers El Generator 1:1Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1976.00 UtilitiestSewer Septic Building Height:
OWNER/ ,fSS.I;E 'CONTRACTOR:
Name Jim HOOPER Name: Robert W. LUDLUM
Address:8 Guava Ln Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:FL Address: 1631 SW South Macedo Blvd
Zip Code: 34952 Fax:n/a City: Port St. Lucie State: FL
Phone No.772-871-9494 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: FL#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:Jim HOOPER Name:Robert W.LUDLUM
Address:8 Guava Ln-Port St.Lucie,FL 34952 Address: s Guava Ln
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.
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 recordin our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA C&
COUNTY OF ���'17r `>C COUNTY OF 'JCSlfu�
The forgoing instrume t was acknowledged before me The forgoing instrume was acknowledged be ore me
this. day of 204 by this day of 20 l by
k&' " A
Name of person making statement Name of person making statement
Personally Known V"_ OR Produced Identification Personally Known_�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P tYi t RIP& (Signature of Notary
Y COMMISSION ak GG066499 MY MIS` 499
Commission No.� EXPIRE(4eiHuary 26,2021 Commission No. (PIRES(Seal) ?G21
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17