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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