HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/28/2018 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
PERMIT APPLICATION FOR: Plumbing III
Address: 9899 Perfect Dr- Port St. Lucie, FL 34986
Legal Description: GOLF VILLAS II UNIT 119 (OR:
Property Tax ID #: 3327-703-0071-000-9 Lot No,
Site Plan Name: Block No.
Project Name: Water Heater Tank Change Out
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION. OF WORK:
Install AO Smith 50 gallon electric water heater tank in front porch utility room
Gas Tank
DGas Piping
Name Colette V. Williams
❑ _ Shutters
❑
Windows/Doors
Plumbing
❑Sprinklers
0Generator
❑Roof
Fill in fee simple Title Holder on most page ( if different
from the Owner listed above)
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1600.00
5Ft. of First Floor
Utllibe—Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Colette V. Williams
Name: Robert W. L.dlum
Address: 9899 Perfect Dr
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: _
Zip Code: 34986 Fax: n/a
Phone No. 772-871-9494
Address: 1631 SW South Macedo Blvd
qty, Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n/a
Fill in fee simple Title Holder on most page ( if different
from the Owner listed above)
E -Mail: PermRs@benfranklinplumber.com
State or County License: CFC1426801
11 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
COUNTY OF D YCJ ^�'`•'f C–
Address:
The forgoing instrument w s acknowledged before me
City:
Zip: Phone
State:
City:
Zip: Phone:
state:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 10, sw swi, viveoo uw
Type of Identification
Address:
Produced
City:
1.9"1{y
City:
signaureof Noi !�?�y MISSO NNGGO68N99
Zip: Phone:
Zip: Phone:
Commission No. 5� PIRES ,IrP8. 2027
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 permit holderto build the subject structure
which is in confylict with any applicable Home Owners Association rules, bylaws or antl 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 poste � bsite
before the first inspection. If R n nd to obtain financing, consult with lender or a ey befo
commencinammirk or recordine vouF Notice of Commencement.
Rev. 8/2/17
Tigndil Owhfff7 Lesseefcontractor as Agent for Owner
Sign re of Contractor/License Holder
STATE OF FLORIDA
OF FLORIDA (V` —
eSTATE
COUNTY OF !
COUNTY OF D YCJ ^�'`•'f C–
The f��or$$ll��ing instrument was acknowledged before me
The forgoing instrument w s acknowledged before me
this y dayof[,� /,*-f 20i>� by
this day offQ,� y' by
/
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Name of personmaking statement
Name of persah
oaaking statement
Personally Known OR Produced Identification
Personally Known rr�� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature oft t ir
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signaureof Noi !�?�y MISSO NNGGO68N99
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Commission No '-SJedFugl jtg. 202t
Commission No. 5� PIRES ,IrP8. 2027
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17