HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 23, 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 V
PERMIT APPLICATION FOR: Plumbing
Address: 6804 Eden Rd - Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 12- BLK 160 LOT 1 (MAP 13/12S) (OR 375-1848).
Property Tax ID #: 1301-614-0091-000-6
Site Plan Name:
Project Name: Water Heater Replacement
Setbacks Front — Back:
Lot No. 1
Block No. 160
Right Side: Left Side:
Install AO Smith 40 Gallon Electric Water Heater Tank in hall bathroom closet.
Mitional work to be ertormed under this permit — cl
HVAC f Gas Tank F]Gas Piping
Electric ❑✓ Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1450.00
all that a
UShutters Q Windows/Doors
FIGenerator El Roof Roof pitch
SFt. of First Floor: _
Utilities:Sewer Septic
Name Helen E. & Lawrence E. WILSON
Address: 6804 Eden Rd
City: Fort Pierce State: FL
Zip Code: 34951 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)
Name: Robert W. Ludlum
Building Height:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: Helen E. & Lawrence E. WILSON
Address: 6804 Eden Rd -Fort Pierce, FL 34951
City; Fort Pierce
Zip: Phone
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1631 SW South Macedo Blvd
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: Robert W. Ludlum
Address: 6804 Eden Rd
City; Port St. Lucie
Zip: Phone:
Not Applicable
State:
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 property. A Notice of Commencement must be recorded and posted on the jo
before the first inspection. If you int
.obt�in financing, consult with lender o rney re
commencing v�ak- r -mcordi r otice of�0mmencement. s
ure of Owner/ Lessee/Cofactor as Agent for Owner
STATE OF FLORIDA t_
COUNTY OF lc'_
The forgoing instrument voas acknowledgecJ�efore me
this ;Z3 day of x 20 16 by
Name of persorymaking statement
Personally Known l/ OR Produced Identification
Type of Identification
Produced n
MARIO L
Signat6OW Contractor/Lic& se Holder
STATE OF FLORIDA
COUNTY OF
The for5oing instru nt w acknowledged efore me
this day of 20 by
�w 16 &� r/L
Name of perso5oaking statement
Personally Known i/ OR Produced Identification
Type of Identification
4)zoduced A i
MARCO L HERNq z
MY Com ule_..
(Signature of Motar l aterd� YMMi�)ON # GG066499 `'(Signature of Notary Pu Ic- tete of FWiHSqS January 26 2021 V�
t•„ - PI:! January 26, 2021
Commission IN % Seal) Commission No. (Seal)
REVIEWSFRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17