HomeMy WebLinkAboutscan.SLC.PERMIT.APP.WTR.HTR.RPL.PRINCE.TERRY.07.13.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 13, 2018 Permit Number:
r �
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 d
III PERMIT APPLICATION FOR: Plumbing II
Address: 4932 Watersong Way - Fort Pierce, FL 34949
Legal Description: WATERSONG PUD PLAT NO. ONE (PB 42-34) LOT 61 (OR
Property Tax ID K: 2532-500-0075-000-1
Site Plan Name:
Project Name: Water Heater Tank Cham
Setbacks Front Back:
Out
Right Side: Left Side:
Lot No, 61
Block No.
DETAILED DESCRIPTION OF WORK: 11
Install AO Smith 50 gallon electric tank -style water heater in 2nd floor closet.
I CONSTRUCTION INFORMATION: III
❑HVAC
❑
Gas Tank
11 Electric
❑✓_Plumbing
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Zip Code: 34949 Fax: n/a
Phone No. 772-871-9494
Address: 1631 SW South Macedo Blvd
qty: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
Total Sq. Ft of Construction:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Cost of Construction:$
2400.00
Piping II❑�_Il Shutters I❑I�II Windows/Doors
riders 11 Generator l_I Roof 7_� Roof pitch
5FtFt.I of First Floor:
Utilities: L,_I Sewer ❑Septic Building Height:
§ZMLESSEE:
CONTRACTOR:
Name Terry Prince
Name: RobertW. Ludlum
Address: 4932 Watersong Way
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Zip Code: 34949 Fax: n/a
Phone No. 772-871-9494
Address: 1631 SW South Macedo Blvd
qty: 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: pennits@benfranklinplumber.com
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
Name: Ten9Pnneo
MORTGAGE COMPANY:
Name: aoeen W Ludlum
_ Not Applicable
Add reSS: 4932 Wa., wa,-Fort Pimn, FL 34949
Address: 4932wa —.9way
Sigruil of Contractor Li se Holder
City: Fon Ple State:_
Zip: Phone
City: PonetAd.
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1631 swsoomiva oBlvd
Address:
The for oing instrument wasacknowledged before me
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR Al 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 Counttyy 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 inspectionee der r an att4rr y before
commencing work or re . r,1Xt vouoRlGtice of Commencement. in A
Rev. R/2/17
ure' —11 Le9se97Contractor as Agent for Owner
Sigruil of Contractor Li se Holder
STATE OF n '_t_
OF
COUNTYOFORIDASTATE
COUNTYOFORIDA
The forgoing instrument was ack*noowwleedYge/d/bGe ore me
The for oing instrument wasacknowledged before me
this day 20 by
this_,adayof �'Tu 20by
�of' r /
�O.+CJ7 W LG(Ll�ii n..
t—ll bcql
Name of perso aking statement
✓✓
I�dNe1
Name of person raking statement
✓✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
` l
�
(Signatu of Nota y. MrSt�
GG068489
(Signature of N
t Iic-IGFAhId fJV NANDEZ
ISS k G066a99
:. E MY COMMISSI 1
26,2021
Commission No
dal
9 Jen ary 6, 2021
Commission No. IRESJ f
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TU RTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. R/2/17