HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/19/2018
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 5822 Honeybell Ct #41A - Fort Pierce, FL 34982-3963
Legal Description: THE GROVE CONDOMINIUM -SECTION ONE- UNIT 41A (OR 3919-992).
Property Tax ID #: 3410-507-0161-000-0
Site Plan Name:
Project Name: Water Heater Tank Replacement
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Install AO Smith 30 gallon electric tank -style water heater tank inside interior utility closet.
E1HVAC
FlElectric
tuat apply:
_ Shutters
❑✓ Plumbing Sprinklers GeneratorRoof pitch
QWindows/Doors
Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 1350.00
S Ft. of First Floor: _
Utilities: Sewer Septic
Name David Vanderflier and Inge Vanderflier
Address: 5822 Honeybell CT # 41A
City: Fort Pierce State: FL
Zip Code: 34982-3963 Fax: n/a
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)
Building Height:
Name: Robert W. Ludlum
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: permits@benfranklinplumber.com
State or County License: CFC1426801 / #23584
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name: David Vanderflier and Inge Vanderflier
Address: 5822 Honeybell Ct #41A -Fort Pierce, FL 34982-3963
City: Fort Pierce state:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: 1631 SW South Macedo Blvd
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: Robert W. Ludlum
Address: 5822 Honeybell CT#41A
City: Port St Lucie state:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 propertyy. A Rott�'ce of Commencement must be recorded and posted on the jobsite
before the first inspection. If ydu intend to obtain financing, consult with lender or aneattorrfey before
commencin rk or rvcordiiia vour Nrotice of Commencement,-
ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF lY-626
Thefor oing instru nt was acknowledged/before me
this ay of1rmL,,i 20 A by
&' IT & IJJL��
Name of peraking statement
so
Personally Known OR Produced Identification
Type of Identification
Produced
jSignature of Notar 1b -jai6W&ION # GG066499
Commission No. PIRE +ary 26, 2021
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrurrient was acknowledge before me
this day o 20 by
77
I
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW