HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit 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
PERMIT APPLICATION FOR: Plumbing
Address: 1 SANTA MARIA CT - PORT ST LUCIE, FL 34952
Legal Description: Spanish Lakes Riverfront
Property Tax ID #: 3427-111-0002-0005
Site Plan Name:
Project Name: Water Heater Tank Change Out
Setbacks Front — Back:
Lot No.
Block No.
Right Side: Left Side:
Install AO Smith Electric 30 Gallon Water Heater Tank in Exterior Driveway Closet.
lditional work to bepjertormed under this permit — checK a
HVAC L 1 Gas Tank E]Gas Piping
1-1 Electric 171 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1800.00
a
UShutters Q Windows/Doors
ElGenerator 171 Roof Roof pitch
ScFt. of First Floor: _
Utilities:
Sewer Septic
Name Doris Mailloux
Address: 1 Santa Maria Ct
City: Port St Lucie State: FL
Zip Code: 34952 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.
SUPPLEI1 ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: DodsMaluoux
Name: Robert W. Ludlum
Address: 1 SANTA MARIA CT- PORT ST LUCIE, FL 34952
Address: 1 Santa Maria Ct
City: Port St Lucie State:
City: PortSt Lucie State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 1631 SwSouth Macedo Blvd
Address:
City:
City:
26, 2021
Zip: Phone:
FRONT
Zip: Phone:
SUPERVISOR
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 our paying twice for
improvements to your property. A No ' e of Commencement must be recor an po on a jobsite
before the first inspection. If you int o obtain financing, consult with I der or an a y �fo re
commend or re rdin r Notice of Commencement.
REVIEW
REVIEW
DATE
Signature o ontractor/License Holder
Sign of ner/ L see/ ntractor as Agent for Owner -
STATE OF FLORID
COUNTY OF���
STATE OF FLORIDA
COUNTY OF
The forgoing instru ----` •••,� acknowledge efore me
thy; �3y of�
The c,,,-^^ing instrument was acknowledg efore me
thj�_9y of _ �G� -, 20� by
Name of person ing statement
Personally Known OR Produced Identification
Name of person ma ' g statement
Personally Known R Produced Identification
Type of Identification
Type of Identification
Produced
Procj ed
�"'taMId�IERNANDEZ
COMMISSION# GG066499'`�COMMISSION
(Signature of Notar 4f�XPIRES(JERliry
Commission N 26, 2021
(Signature of Notaryu�t�`",eI��-)HERNANDEZ
# GGQ66499
Commission No XPIRE>}ary
6�1
Rev. 8/2/17
26, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED