HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a` Permit Number:
,� N . .
RECEIVED
Building Permit Applicaton MAR 1 2019
Planning and Development Services . Lueie a Permitting
ST ��'`F
Building and Code Regulation Division --
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: i t 'o
PROPOSED IMPROVEMENT LOC T ION:
Address: 855 SE FESTIVO CT, PORT ST. LUCIE, FL. 34983
Property Tax ID#: 3419-550-0037-000-3 Lot No.12
Site Plan Name: Block No. 64
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACING 40 GAL ELECTRIIC�WATER `HEATER, REPLACING TWO SHOWER VALVES AND ALL SHUT OFF VALVES
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
as
Cost of Construction: $ so C Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name LUDLUM HOLDINGS LLC Name:ROBERT LUDLUM
Address:9733 SW SANTA MONICA DR Company:AQUA DIMENSIONS PLUMBING SERVICES, INC.
City: PALM CITY State: Address:1651 SW S. MACEDO BLVD
Zip Code: 34990 Fax: City: PORT ST. LUCIE State:FL
Phone No.772-370-6067 Zip Code: 34984 Fax: 772-343-7418
E-Mail: Phone No772-344-8433
Fill in fee simple Title Holder on next page(if different E-MaiIADPA@AQUADIMENSIONS.COM
from the Owner listed above) State or County LicenseCFC057526
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 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
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNOTICE OF COMMENCEMENT."
ignatur ner Lessee/Contractor as Agent for Owner /Signature tractor/License Holder
STATE OF FLORID STATE OF FLORIDA (�
COUNTY OF _1 2U COUNTY OF &L tl -��-�-R—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IA'day of MaN ck 20 1 S by this
�la�`day of YY�ru�C_h 20 P5 by
vel RO ber4 LVkA1u ry6.�'�r9:
Name of person making statement : po;AA Name of person making statement. Jc;
Personally Known OR Pro u'c 2fd.6Etifi ation Personally Known OR Produced\1enitifLqtio
.°Kron„� .L
Type of Identification Type of Identification R,Produced � �: Produced � o
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(Signature of Notary PuoiU State Florid (Signature of Notary P I -State f Florida) o v
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REVIEWS FRONT ZONING S\UPfRVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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