HomeMy WebLinkAboutscan.SLC.PERMIT.APP.WTR.HTR.RPL.POPE.BEVERLY.11.12.2018.BFP.PSLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/2018 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: 8008 Meadowlark Ln - Port SL Lucie, FL 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 45 LOT 35 (OR 3636-232).
Property Tax ID ir: 3425-706-0047-000-2
Site Plan Name:
Project Name: Water Healer Tank Change Out
Setbacks Front Back'
Right Side: Left Side:
Lot No. 35
Block No. 45
DETAILED DESCRIPTION OF WORK: III
Install AO Smith 30 gallon electric water heater tank inside interior laundry room closet.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Beverly C. Pope
Name: Robert W. Ludlum
rtiona war 1615f]rformed
un ert is permit—c check
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Address: 1631 SW South Mail Blvd
❑_HVAC
E -Mail: n1a
Gas Tank
❑Gas Piping
_appy:
Shutters
❑Windows/Doors
11 Electric 0
Plumbing
Sprinklers
Generator
Roof Roofpitch
Total Sq. Ft of Construction:
5vI
Ft of First Floor:
Cost of Construction: $ 1500.00
Utilities:
5ewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Beverly C. Pope
Name: Robert W. Ludlum
Address: 8008 Meadowlark Ln
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: Na
Phone No. 772-871-9494
Address: 1631 SW South Mail Blvd
City. Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n1a
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
„.a,..=� woav uumo n a�oov or more,anewnuev rvouce orwmmericiment is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
'cense r
Address:
^�
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 'cal sw souh Mace eiw
this d yof
Address:
this day of
City:
City:
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Zip: Phone:
Name of perso akin statement
Personally Known VOR Produced Identification
Zip: Phone:
Type of Identification
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. IfyyQ��J intend to obtain financing, consult with lender or an attorney before
commencing work or recuirsb'v6ur Notice of Cnmmenrement. n I %/
Kev. 8/2/17
oe Lessee/
tractor as Agent for Owner
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STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY OF
COUNTY OF
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The for¢oing ins trum was acknowledged before me
The fpryoing instrum n
was acknowledgedjefore me
this d yof
20 by -
this day of
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Name of perso akin statement
Personally Known VOR Produced Identification
Name of persoj� making statement
Personally Known J/ OR Produced Identification
Type of Identification
Type of Identification
Produced
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10 L HERNANDEZ
(Signature of Notar7 fyb S¢
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Commission No.
�Egg J uary 26, 2021
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71
Commission No.
T• ES JM Wy 2!.2021
Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 8/2/17