HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211012018 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: 3001 Approach Shot Way - Port SL Lucie, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BILK 40 LOT 5 (OR 1702-2647; 3492-1910; 3800-2916).
Property Tax ID #: Lot No. 5
Site Plan Name: Block No. 40
Project Name: Water Heater Tank Change Out
Setbacks grant Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install AO Smith 30 gallon electric water heater tank in bedroom closet.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name John W Cornell & Marilyn Lee Cornell
.. ,.. _..
wor to a er
orme Joinert is permit -c ed a
app y:
Address: 1631 SW South Macedo Blvd
II��rtlIiona
0HVAC
E -Mail: n1a
Gas Tank
❑Gas Piping
_Shutters
Electric 171
Plumbing❑Sprinklers
❑Generator
I❑Windows/Doors
❑Roof Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:$ 1375.00
_ UtilitieslEn
Sewer[ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John W Cornell & Marilyn Lee Cornell
Name: Robertef Ludlum
Address: 3001 Approach Shot Way
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: FL
Zip Code: 34852 Fax:
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: n1a
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
...arae o...o...... , . -o more, ancwwveo noaa or wmmencemenr is requrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
STATE OF FLORIDA
Address:
COUNTY OF 526 1& �i �P_.
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: no' sw somh uawav ma
Type of Identification
Address:
City:
Produced
City:
(Signature of Nota - ��1kTISSfON M 00088499
Zip: Phone:
-'FL; ajjJ(��IONERNG 068199
Zip: Phone:
Commission No.
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 confVlict 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult ytttb�ender o r BY before
commencine.work or recordicur1our Notice of Commencement. / ,1-�
Rev. 8/2/17
S' f er sse Can actor as Agent for Owner
SigxaftLwqpffsiTlractorfLR7Fnse
Holder
STATE OF FLORIDA
STATE OF FLORIDA
�y ' /. � ,
COUNTY OF 526 1& �i �P_.
COUNTY OF
6(Y
The fo Ding instrumeejj��t was acknowledged fore me
this day of /X�. 20yby
The f r Ding instrumen as acknowledged before me
this�day of 20by
12.0 l- W, U4LaM
d W. t 01,
Name of personjnaking statement
Personally Known V OR Produced Identification
Name of pers making statement
Personally Known ly OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota - ��1kTISSfON M 00088499
(Signature of Nota
-'FL; ajjJ(��IONERNG 068199
Commission No. �y�llarY 2e, 2021
Commission No.
r �4FIRESCJM 48.7021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17