HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: duly 3,2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone;(772)462-1553 Fax: (772)462-1579 Commercial Residential V
PERMIT APPLICATION FOR: Plumbing
�ROPOSED IMPROVEMENT LOCATION:
Address: 8284 Sandpine Cir- Part St Lucie, FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO.ONE LOT 33(OR 2908-73: 3091-1160).
Property Tax ID#: 3426-703-0047-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Water Heater Tank Replacement
Setbacks Front Back: Right Side: Left Side:
`k ASCRIPTION OF WORK:
Install AO Smith 50 gallon electric water heater in garage.
CONSTRUCTIO FORMATION:
itiona wor to a e orme under T is permit—check all apply:
❑�I ❑Gas Pipin IHVAC Gas Tank g �_Shutters ❑Windows/Doors
L_JElectric ❑✓_Plumbing ❑Sprinklers ❑Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S FtFt.I of First Floor:
Cost of Construction:$ 2375.00 Utilities: L ISewer❑_Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name John F.Johnson Name: Robert W. Ludlum
Address:8284 Sand Pine Cir Company: Benjamin Franklin Plumbing
City: Port St. Lucie State:_ 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:We Phone No. 772-871-9494
Fill in as simple Title Holder on next page(if different E-Mail: permits@benfranklinplumber.mm
from the Owner listed above) State or County License: CFC1426801/SLC23584
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:bona F.bonn,on Name:abben W.wdmm
Address:U84 sempine car.Pon St wde,FL 3t952 Address: 828413zndite Cir
City: Pon sr wde State:_ City: POStAude State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:1631 swaoen Mewae81W 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlict with any applicable Home Owners Association rules,bylaws or antl 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 roams 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 propert Notice of Commencement must be recorde nd poste n the jobsite
before the firs [ion ' tend to obtain financing,consult with I r o n a y before
commenci ork r rd" o Notice of Commencem nt.
of ner/ ee/Contractor as Agent for Owner Signature oT Contractor/Lice se Holder
STATE OF FLORIDA� / - t•� STATE OF FLORIDA
COUNTY OF G'L� COUNTYOF
The forgoing instrum w s acknowledged before me The forgoing instrumen gifss acknowledged efore me
this yot 20 by thisday of p 2 b
d*, It,
Name of person making statement Narfre of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification_
Type of Identification Type of Identification
Pr cc d ced
Q
HIERNANDEZ
ignature of Nota - � .' ��n pO008Bgyg tgnature of Nota �v {faae'Q(p blO�IMOOOBN9Y
. I PIRE SJ 7 28,2021 C- EI bIR S Jenuery 28,202[
Commission No. Commission No Seal
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17