HomeMy WebLinkAboutWH PermitAtL APPLICAB[E INFO MUST BE COMPLETED FOR APPIICATION TO BE ACCEPTED
Darc. 6t22t2018
Permit Number:
' Building permit ApplicationPlonning and Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort pierce FL 34gg2Phone: (172) 462-L553 Fax: (772) 462_1578 Commercial Residential
Address:,'lL
Legal Descripllsn. RIVERS EDGE pENtNSULA LOT 3 (0.41 49) ron 3864-1207)
Property Tax lD #:
Site Plan Name:
34 1 6-802-0004_000_6
Lot No.3
Block No.Project Name:
DETAILED DESCRIPTION OF WORI(:
Setbacks Front Risht Side:Left Side:
Replace a 50 gallon electric hot water heater located garage.
tr
E
wor
HVAC
Electric
Gas Tank
Plumbing
rmed under s permit=
l-leas pipine4[_lsprintters tr
Shutters
Generator
Total Sq. Ft of Construction:
Cost of Construction: g 985
lf value of constructio
trI Windows/Doors
Roof E Roor pitch
Building Height:
PERMIf AppltCAT|ON FOR: ptrrbin"
-
PROPOSEDIMPROM
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
naar"rt, J,OV [Oyro_..r< eT.
-
city: p+ . 5+. LLLei< strbn
Name:
ZiP Code: 34952 p2^.
phone 1116. 954-260-6969
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E_Ma il : ben@benjamindrewsplumblng.com
State or County License: CFC1429456
Add ress:
city: n. Pi(yce state:Fl
Zip Code: 34945
phone Ns.772-877-2962
Company: Benjamin Drew's Plumbing & Drain
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Back:
Sq. Ft. of First Floor:
utitiries: l-l r"*u, E r"*
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: I t"tot Applicable
Name:
Add ress:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER:
Name:
X trtot Applicable BONDING COMPANY:
Name:
X Not Applicable
DESlGN
Name:
TNEER:
Address:
City:State:
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,. LucieCounty.makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewnlcn ls ln conlltct wtth any applicable Home Owners Association rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult with your Home Owners Association and review'your deed for any restrictions raifricfr may apply.
ln consideration of the granting of this requested permit, I do hereby agree that lwill, 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
improve.ments to your property. A Notice of Commencement must be recorded and posted onlhe jobsite
before the first inspection. lf you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
x Not Applicable
Rev.8/2/77
; ..- /r,__r_ / _
Signatureofowner/-tesse6/ContractorasAgentforowner|signatu'eoiffirrseHolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22nd day Of .tun"this 22nd day of lun"
Name of person making statement
Personally Known x OR Produced ldentification
Name of person making statement
Personally Known x OR Produced ldentification
Type of Identification
Produced
"'* -'(Signature bl Notary Public- State-o.
Commission No. GG024e60 commission No. GG024e60 ffiffi.ffiNotarvPub$9 St tc d Florit'
fit'Jtm3E:3w.
REVIEWS ROruT
COUNTER
ZONING ] SUPERVISOR
REVTEW I nrVrrw
VEGETATION
REVIEW
PLANS
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
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Address:
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Add ress:
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