HomeMy WebLinkAbout720 SW AIROSO BLVD PERMITAPPLICATION WHAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 414119 Permit Number:
COUNTY
F L O R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:GARAGE
Address: 720 SW AIROSO BLVD PORT SAINT LUCIE FL 34983
Property Tax ID #: 341954500600007 Lot No.2
Site Plan Name: RIVER PARK -UNIT 6- BLK 59 LOT 2 (MAP 34128S) Block No. 59
Project Name: CHANGE OUT WATER HEATER
DETAILED DESCRIPTION OF WORK:
CHANGING OUT OWNER SUPPLIED 50 GAL ELECTRIC TANK STYLE WATER HEATER IN GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
CONTRACTOR:
_Mechanical _Gas Tank
_Gas Piping
_Shutters
_Windows/Doors
_Electric gPlumbing
_Sprinklers
_Generator
_Roof Pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction: $ 500.00
Utilities:
_Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DWIGHT WILLIAMS
Name:ROBERT LUDLUM
Address:720 SW AIROSO BLVD
Company: BENJAMIN FRANKLIN PLUMBING
City: PORT ST LUCIE State: _
Zip Code: 34983 Fax:
Phone No.
Address: 1631 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-871-9494
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailPERMITS@BENFRANKLINPLUMBER.COM
State or County License CFC1426801
IT value or construction IS $Z5W or more, a RECDRDED Notice or Commencement Is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Sig of Contrctor Lcense Holder
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
_Not Applicable
Address:
The foj��ing Instrume Atwas acknowledged before me
this L/I"dayoff_ , 20_d by
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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Address:
City:
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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 holder to build the subject structure
which is in conxlict 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.
Inconsideration 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 fallowing 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 MUS RECORDED AND
POSTED ON THE B SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OR INANai CONSULT
WITH YOUR LE E OR EY BEFORE RECORDING YOUR E OF [ T."
Key. 21710
Sig of Contrctor Lcense Holder
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STATE OF FLORIDA
STATE OF FLORIDA
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The for Ding instrument was acknowledged before me
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Name of person making statement.
Name of person making statement.
Personally Known _ I OR Produced Identification
Personally Known t ---OR Produced identification
Type of Identification
Type of Identification
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Key. 21710