HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 419119 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential x
PERMITTYPE:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 7002 DONLON ROAD FORT PIERCE FL 34951
Property Tax ID q: 1301-612-0299-000-8 Lot No. 11
Site Plan Name: LAKEWOOD PARK -UNIT 10- BLK 131 LOT 11 (MAP 13101S) Block No. 131
Project Name: WATER HEATER CHANGE OUT
DETAILED DESCRIPTION OF WORK:
CHANGING OUT WATER HEATER WITH 50 GAL ELECTRIC RHEEM MARATHON IN LAUNDRY ROOM LOCATED
INSIDE OF HOME
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: _
Cost of Construction:$ 2500
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCOLBY AND KACEY PREDIX
Name:ROBERT LUDLUM
Address:7002 DONLON RD
Company: BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.
Address: 1631 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772 -VI -906 --
Phone Na772-871.9494
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
If value of construction is 52500 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:
Personally Known x
DESIGNER/ENGINEER:
Name:
. Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Produced
Address:
Produced
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
_rl�
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 AssocPation 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
STATE OF FLORIDA
COUNTY OF srwcre
The for oing instrument was acknowledged before me
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STATE OF FLORIDA
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Name of person making statement. I Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
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