HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/27/2018 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8540 COBBLESTONE DRIVE FORT PIERCE FL 34945
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 99 (OR 4027-2044)
Property Tax ID #: 2326-600-0104-000-8
Site Plan Name:
Project Name: RENSCHLER WH 50 GAL INSTALL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side.
Lot No. 99
Block No.
INSTALL 50 GAL AO SMITH ELECTRIC TANK STYLE WATER HEATER SAME FOR SAME
CONSTRUCTION INFORMATION: III
0HVAC Li Gas Tank
11 Electric nV'Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 650.00
vi —cnecrc au apply:
Piping _Shutters ❑Windows/Doors
nklers 11 Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities:n Sewer ElSeptic
Name EMILY M RENSCHLER
Address:8540 COBBLESTONE DRIVE
City: FORT PIERCE State:FL
Zip Code: 34945 Fax:
Phone No. 772-871-9494
E -Mail: NIA
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of
more, a
Building Height:
Name: ROBERT LUDLUM
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. 772-871-8494
E -Mail: PERMITS@BENFRANKLINPLUMBER.COM
State or County License: CFC1426801
SUPPLEMENTAL CONSTRUCTION LIEN LAW .FORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
504 A
Address:
COUNTY OF
City:
Zip: Phone
State:
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: + 1sw sovm—cooaw
,, laAieo,
Address:
Name of persop
City:
Personally Known ✓ OR Produced Identification
City:
OR Produced Identification
Zip: Phone:
Type of Identification
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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which Is in con�lict with any applicable Home Owners Association rules, bylaws Oran ritcovenants 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 1 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. If you intend to obtain financing, consyJt-with lender or an attorney before
commencine-work or recordinmvour Notice of Commencement/ / 7 //
Rev. 8/2/17
Signa Owne L e/ o r or as Agent for Owner
Si ure of Contrakfor'Ittl2finse
Holder
STATE OF FLORIDA
STATE OF FLORIDA
504 A
COUNTYOF LUp
COUNTY OF
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The f r sing Instrument was acknowledged efore me
Aril.
The f Ing instrurr!,eq�t
Xday
as acknowledged before me
this day of .20 by
this of YVWt
.20-16 by
P*hep-1-W. lU411"i,
k0ei -W
,, laAieo,
Name of person making statement
Name of persop
making statement
Personally Known ✓ OR Produced Identification
Personally Known V
OR Produced Identification
_
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary P b _ rCfifA31�lON M OGOliN99
'
(Signature of I story
R10-4MiNNAM
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Commission No. L XPIRES 2jinry 28.2021
1s
Commission No. '�jl',
IRE��Iary 26, 2021
ea
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17