HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/20/2018 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
PERMITAPPUCATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8736 BALLY BUNION RD - PORT ST LUCIE, FL 34986
Legal Description: 3334-600-0049-000-2
Property Tax ID #: POD 32 AT THE RESERVE PUD III SPYGLASS LOT 46 (OR 1958-345) Lot No 46
Site Plan Name: Block No.
Project Name: Water Heater Tank Change Out
Setbacks Front Back: Right Side: Left Side:
METALLED DESCRIPTION OF WORK:
Installed AO Smith 50 gallon electric water heater tank in garage.
CONSTRUCTION. INFORMATION: III
Total Sq. Ft of Construction: _
Cost of Construction: $ 2200.00
5 Ft. of First Floor:
Utilities Sewe,DSeptic Building Height:
Name Jul Lai 8 Lily Lal
Address: 8736 Bally Bunion Rd
City: Port St Lucie State: FL
Zip Code: 34986 Fax: wA
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)
value
or more,
CONTRACTOR:
Name: Robetl W. Ludlum
Company: Benjamin Franklin Plumbing
Address: 1631 SW South Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9969
Phone No. 772-871-9494
E -Mail: permds@benfmndinplumber.min
State or County License: CFC1426801
Gas Tank
Pei nur — ",en
❑Gas Piping
myy apply:
ILJI Shutters
Windows/Doors
❑✓_Plumbing
❑Sprinklers
Generator
®Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2200.00
5 Ft. of First Floor:
Utilities Sewe,DSeptic Building Height:
Name Jul Lai 8 Lily Lal
Address: 8736 Bally Bunion Rd
City: Port St Lucie State: FL
Zip Code: 34986 Fax: wA
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)
value
or more,
CONTRACTOR:
Name: Robetl W. Ludlum
Company: Benjamin Franklin Plumbing
Address: 1631 SW South Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9969
Phone No. 772-871-9494
E -Mail: permds@benfmndinplumber.min
State or County License: CFC1426801
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
S' 'actor/License Holder
DESIGNER/ENGINEER:
Name:
Not Applicable
1 MORTGAGE COMPANY:
Name:
Not Applicable
Address:
The forgoing instrumggt wos acknowledged y�fore me
this ayy�y f /T//7//� 201S�y
Address:
JfE7.�"�—&/
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: in' swsoxxm uasem as
Address:
City:
(Signature of Not rn Pu li��raf NBl1981gN p GGostme9
City:
RES January 10.1021
Zip: Phone:
Commission N (Seal'
Zip: Phone:
REVIEWS
OWNER/ CONTRACTOR AFFIOVIT: 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 uermit 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, 1 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, wails, 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. I end to obtain financing, consult with lender or an atto�gey before
mmmencinjz v or r me v r Notice of Commencement. /771 _ /
Rev. 8/2/17
S' 'actor/License Holder
naY eof Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDAt /1
STATE OF FLORIDA
COUNTY OF 11C1
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COUNTYOF
The forgoing instrumggt wos acknowledged y�fore me
this ayy�y f /T//7//� 201S�y
The fo Ding instrume twos acknowledge ore me
this �ay of [/ 20 by
JfE7.�"�—&/
jzAcl_
Name ofpeV Knnakingstatement
Name of per making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
daced
Produced
10 L HERNANDEZ
(Signature of Not rn Pu li��raf NBl1981gN p GGostme9
(Signature of No iff» liftNtg9l N GG%6499
RES January 10.1021
E9 Jenuery 16,1011
Commission N (Seal'
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17