HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/19/2018 Permit Num
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 d
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address 6239 ALEXANDRIA CIR- FORT PIERCE, FL 34982
Legal Description: PALM GROVE S/D BLK L LOT 9 (0.12AC) (OR 3132-2300)
Property Tax ID H: 3410-503-0347-000-6
Site Pian Name:
Project Name: WATER HEATER TANK CHANGE OUT
Setbacks Front Back: Right Side:
Left Side:
Lot No. 9
Block No. L
DETAILED DESCRIPTION OF WORK: III
Install AO Smith 50 gallon electric water heater in garage.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Andres and Naoma McCauley
Name: Folderol Ludlum
itiona war to e
e Orme un ert
ispermit—c ec a..
-.._appy:
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
OHVAC
Gas Tank
❑Gas Piping
Shutters
❑Windows/Doors
11 Electric ❑✓_Plumbing
Sprinklers
Generator
Roof Roofpilch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:$ 1480.00
Utilities:an
Sewer El Septic
Building Height
OWNER/LESSEE
CONTRACTOR:
Name Andres and Naoma McCauley
Name: Folderol Ludlum
Address: 6239 Alexandria Cir
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: FL
Zip Code: 34882 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: We
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
....... ..... .......m... Pow ar more, a ea..oaocu nooce or wmmencenn rs regamma.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
COUNTY OF ���ii�l
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 1691 m'soum MaceOa ata
naking statement
Address:
Personally Known
City:
Personally Known OR Produced Identification
City:
Zip: Phone:
Produced
Zip: Phone:
Produced
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 con list 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.
Inconsideration 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 N tice of Commencement must be record and posted on the jobsite
before the first ins echo 1. If y to obtain financing, consult wi r or an orney before
commencing,Wr o reco 9 N tice of Commencement.
Rev. 8/2/17
1 Owne
ractor as Agent for Owner
eof Con ctor/License Holder
STATE OF FLORID9iJi
COUNTY OF ���ii�l
COUNTY OFORIDA
The fo.rff��ing instrument
this/�tlay of
wa_sA:knowledged�}}]]EEfore me
// 20[�by
The for ng instrumen t1 ac' owI dged�re me
this day of 20 py
//
[�/yam
Name of pers
naking statement
Nallne of persoking statement
Personally Known
OR Produced Identification _
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
9
N
(Signature of
li MIPd-I S
(Signature of No arXY Sta
,•
Iy COMMISSION M GG068199
MA L NERNANDEZ
Commissim,
9brluLSyali1, 2021
commission No. ,• yR5SIt"IlIiliG06e499
' ,p,,, • EXP ES January 28, 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