HomeMy WebLinkAboutscan.SLC.PERMIT.APP.WTR.HTR.RPL.LEWIS.JAMES.05.14.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/14/2018 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: 1309 BRADLEY ST - FORT PIERCE, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 07- BLK 51 LOT 24 (MAP 34/02S) (OR 836-1165).
Property Tax ID #: 3402-608-0418-000-2 Lot No. 24
Site Plan Name: Block No. 51
Project Name: Solar Water Heater Tank Change Out
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install AO Smith Sun 80 gallon solar tank -style water heater in laundry room.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Brenda M. and James C. Lewis
Name: Robert W. Ludlum
Additional work to be nertormed under
this permit — check
all that appy:
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
HVAC Gas Tank
F]Gas Piping
Shutters
Windows/Doors
Electric Plumbing
Sprinklers
Generator
Roof Roof
pitch
Total Sq. Ft of Construction:
S�Ft.j of First Floor:
Cost of Construction: $ 2050.00
Utilities:
L_ISewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Brenda M. and James C. Lewis
Name: Robert W. Ludlum
Address: 1309 Bradley St.
City: Fort Pierce State: FL
Zip Code: 34982 Fax: n/a
Phone No. 772-528-5652
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/SLC23584
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENfiAI: CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Brenda M. and James C. Lewis
Name: Robert W. Ludlum
Address: 1309 BRADLEY ST - FORT PIERCE, FL 34982
Address: 1309 Bradley St.
City: Fort Pierce State:
City: Port Sl. 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 o tice of Commencement.
Signa a of Owner essee/Contractor as Agent for Owner
Sign u re2oT C ntr r i C Holder
STATE OF FLORIDA
COUNTY OF 1
STATE OF FLORIDA
COUNTY OF�6,r Z,�s
The forgoing instrumen was acknowledged before me
this day of 201AY
The forgoing instrument was acknowledged before me
this day of 20 y
Name of person aking statement
Personally Known t OR Produced Identification
game of person Making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
v ;
(Signature of Notar l ; ; WOMT r A%iON # GG066499
Commission No. tRE�ary 28, 2021
(Signature of Notar ; :' & ri SON # GG068499
Commission No. 28, 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