HomeMy WebLinkAboutBuilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/24/18 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 J
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENTGATIOM
Address: 10600 S OCEAN DR 209-JENSEN BEACH. FL 34957
Legal Description: OCEANIA SOUTH CONDOMINIUM II UNIT209 AND UNDIV SHARE IN COMMON ELEMENTS.
Property Tax ID #: 4511-517-0026-000-6 Lot No.
Site Plan Name: Black No.
Project Name: WATER HEATER REPLACEMENT
Setbacks Front Back: Right Side: Left Side'
DETAILED DESCRIPTION OF WORK:
Install new AO Smith 30 gallon electric water heater tank inside interior condominium closet
CONSTRUCTION INFORMATION:
1 1..
Name Charmaine Ellis
_ ".`12_1,z_
work to n ert
is permit —c ec
al I appy:
Address: 1631 SW South Macedo Blvd
IdAdditional
borlormed
LJHVAC Gas Tank
❑Gas Piping
_Shutters
❑Windows/Doors
Electric W1Plumbing❑Sprinklers
❑Generator
❑Roof Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:$ 1100.00
Utilities
t Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charmaine Ellis
Name: Robert W. Ludlum
Address: P.O. Box 150915
Company: Benjamin Franklin Plumbing
City: Fort Worth State: _
Zip Code: 76108 Fax: Na
Phone No. 772-871-9494
Address: 1631 SW South Macedo Blvd
aTy,, Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9484
E -Mail: his
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: pertnits@benfranklinplumber.mm
State or County License: CFC1426801
•_�•_ ...,..o.. �..,�„ o;i er mere, a aanance nonce ncommencement is repwrea.
IC
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
City:
Zip:.
rvot.vppucame I MORTGAGE COMPANY:
TITLE HOLDER: Not
Name:
Address: tact SW awM MacMO BIM
City:
Zip: Phone:
Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 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, 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 ' e for
improvements to your property. ice of Commencement must be recorded and posted e' bsite
before the first inspection. If yo nt nd to obtain financing, consult with lender or an att ey ore
commencirJR'tYoplCpr reco o N ice of Commencement. %i i. .
Rev. 8/2/17
e fOwn r/ Le actor as Agent for Owner
actbOieense Holder
STATE OF FLORIDA,r,G(iFLORIDA
COUNTY OF c LY,I LWC (�
COUNTY OF (/K./i,/Q l�•U.C.[ (J
The fJ{r�gIng instrum&qI�was acknowledge����eefore me
The r ng instrume a acknowledg fore me
this LN' d yof UC (rr 201Jj by
thi Mdavlpf� . , 20
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Name of person rydking statement
Name of person orSking statement
Personally Known Y OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
DaywillipmFIM11TNNANDEZ
r{ IANDEZ
(Signature of Nota", r: -$ibis 00MM 61 NM GG066r
(Signature of Not [:P lit<SW {Y.n86rC OG06&N
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(N SJR) 26.20tt
Commission No. ° all
Commission No. J L g$ a I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17