HomeMy WebLinkAboutBuilding Permit ApplicationPlanning 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: 9900 S OCEAN DR 101 - JENSEN BEACH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 101 AND UND SHARE IN COMMON ELEMENTS (OR 1784-254).
Property Tax ID #: 4502-503-0005-000-2 Lot No.
Site Plan Name: Block No.
Project Name: WATER HEATER REPLACEMENT
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK: --- -
Install AO Smith 30 gallon electric water heater in utility closet under A/C unit
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit – check a appy:
HVAC 11 Gas Tank F]Gas Piping In Shutters Windows/Doors
Electric 171 Plumbing 11 Sprinklers FIGenerator F]Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1300.00
ScFt.j of First Floor: _
Utilities: I —Sewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Thomas F. Meade & Theresa M. Meade
Name: Robert W. Ludlum
Address: 9900 S OCEAN DR 101
Company:
City: Jensen Beach State: _
Zip Code: 34957 Fax: n/a
Phone No. 772-871-9494
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: nla
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Thomas F. Meade 8 Theresa M. Meade
MORTGAGE COMPANY: Not Applicable
Name: Robert W. Ludlum
Address: 9900 S OCEAN DR 101
Address: 99003 OCEAN DR 101-JENSEN BEACH, FL 34957
City: Jensen Beach State:
Zip: Phone
City: Port St. Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 1631 SW South Macedo Blvd
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 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 in, EfI�,, If you intend, to obtain financing, consult with er o in attorne efore
commencin r or r cord our Mice of Commencement.
Rev. 8/2/17
l
Si re of Owner/ Lessee/Contractor as Agent for Owner
Signat e of Contractor/License Ho
STATE OF FLORIDA e �
COUNTY OF
STATE COUNTOY OFORIDA
J/ vu
The focgetng instru t w s acknowledge efore me
The ng instru nt w s acknowledge efore me
this fo day 20
this day of 0 y
of
Name of perso aking statement
Name of perso aking statement
Personally Known V OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
RIO L HERNANDEZ
L ERNANDEZ
66409
Signature of Notar RP d hAuary 26, 2021
(Sig4ar, of Notary e 5 January 26, 2021
Commission No.
Commission No. `'7y-tSedill
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17