HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/17/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce A 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential J
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address 2 GRANDE CAMINO CT - FORT PIERCE, FL 34951
Legal Description: ...,... as..,..,,.s«..................®,,w.„n.,on„�.�.,,.«,.,,,...,.,.�.
Property Tax IDA: 1301-111-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: WATER HEATER TANK CHANGE OUT
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new 30 gallon AO Smith Electric Water Heater in door panel on side of home.
CONSTRUCTION INFORMATION:
AUditional worK to 0 rformed under this permit —c hecka appy:
HVAC Gas Tank ❑Gas Piping 1:1I1�_ll Shutters ""ll Windows/Doors
LiElectric ❑✓_Plumbing Sprinklers L,_I Generator 0Roof Roof pitch
Total Sq. Ft of Construction: 5t ��Ft.1 of Firstll l�olr:
Cost of Construction: $ 1400.00 Utilities; Ll Sewer []Septic Building Height:
Name Marvin Young Name: Robert W. Ludlum
Address:2 Grande Camino Ct Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL Address: 1631 SW South Macedo Blvd
Zip Code: 34951 Fax: n/a City: Port St. Lucie State: FL
Phone No. 772-871-9494 Zip Code: 34984 Fax: 772-871-9069
E-Mail: Na Phone No. 772-871-9494
Fill in fee simple Title Holder on next page( if different E-Mail: permits@benfranklinplumber.com
from the Owner listed above) State or County License: CFC1426801
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: mama Young
MORTGAGE COMPANY:
Name: ROEerkw. Ludlum
_ Not Applicable
Add reSS: 2 GRANDE CAMINO CT -FORT PIERCE, FL 30951
Address: 2GIarrocaMnocl
`_/_ j,
E
City: ForkPle,re State:_
Zip: Phone
City: Pon al. Lutie
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 1031 swsovrmxcxc xa
Address:
2L�G+IL
City:
City:
Zip: Phone:
Zip: Phone:
making statement
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 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.
Inconsideration 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 corded and posted on the jobsite
before the first i on. If you iiptend��ee�vv��tain financing, con w' hJender or an attoplBY before
tomme or oorierordine-rfiur ,ticebf Commenceme , /i1.i O
Rev. 8/2/17
ureo vm
ee/ ent for Owner
Wature of Contra or/ older
STATE OF COUNTYOFORIDC
di.i
`_/_ j,
E
COUNTYSTATE OF
COUNTY OF
The fai�r$$pping instrum, nt
I
las acknowledged et�fore me
The for Ding instrum It w s acknowledged me
this day
2L�G+IL
04 by
this day of67
2LL'LdCC/u11
�before
Name of perso
making statement
Name of pers9n making statement
Personally Known V
OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I ignature of Notary ; b.
14
ION p GOO681a8
(ignature of Dior Q, - o ori a
C MIS ON p GGO6N99
Commission No.
IRE�4vary 26. 2021
Commission Na. RES ftgr 26, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
5EA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17