HomeMy WebLinkAboutscan.SLC.PERMIT.APP.WTR.HTR.RPL.STRATTON.BOBBIE.E.08.14.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/14/2018 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
PROPOSED IMPROVEMENT LOCATION,
Address: 5999 Peterson Rd - Fort Pierce, FL 34947
Legal Description: 13 35 39 E 208.67 FT OF W 626.17FT OF S 208.75 FT OF N 258.25 FTOF NW 1/4 OF NE 1/4
OF NE 1/4 -LESS N 71.5 FT- (0.89 AC) (OR 276-1022: 1948-933).
Property Tax ID #:
Site Plan Name:
Project Name: Water Heater Tank Replacement
Setbacks Front Back:
Right Side: Left Side:
Install AO Smith 30 gallon electric tank -style water heater in master bedroom closet.
iditional work to be ertormed under this permit — c
HVAC Gas Tank E]Gas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2100.00
Lot No._
Block No.
an n apply:
Shutters Windows/Doors
Generator Roof Roof pitch
SFt. of First Floor: _
Utilities: Sewer 0 Septic
Name Bobbie E. and Elsie M. STRATTON
Address: 5999 Peterson Rd
City: Fort Pierce State: FL
Zip Code: 34947 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: RobertW. 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: Bobbie E. and Elsie M. STRATTON
Address: 5999 Peterson Rd -Fort Pierce, FL 34947
City: Fort Pierce State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:_
Address
City:
Zip:
1631 SW South Macedo Blvd
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: Robert W. LUDLUM
Address: 5999 Peterson Rd
City: Port St. Lucie State: _
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorry ' before
commencin�rk or recordiriR vour Notice of Commencement. w
er/`Lt-<s-ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF 15irt),4 1a6)Y—"
The
) t -
The for ing instru nt was acknowledged before me
this /Tday of 20&by
Name of person making statement
Personally Known (l OR Produced Identification
Type of Identification
Produced
SignbDiel'&W Contra ctor/Licerrge Holder
STATE OF FLORIDA
COUNTY OF 9?
The fogrig instru nt was a nowledgec efore me
this i d y of 20 10 by
Name of person aking statement
Personally Known _ j/ OR Produced Identification
Type of Identification
Produced
4 f
.HERNANDEZ
of Notary F (Signature of Notar
(Signature y - : , VRER8tTary
ION * GG066499 IritY C5 ON # G , 2021 9
Commission No.
26, 2021 Commission No. 11' (Seal)__Janua26, 2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17