HomeMy WebLinkAboutBuilding Permit Applicaiton 05/14/2019 12:32 FAX U001/003
AU APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�-�
Date: 5/14/19 Permit Number: \C iS----- cj(
COUNTY
L, 0 R ! n a RECEIVED
Building Permit Application
Planning and Development Services MAY 14 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax; (772)462-1578 Commercial Residential XSt. Lucie County
PERMITTYPE:WATER HEATER REPLACEMENT
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Address: 7717 WEXFORD WAY PORT SAINT LUCIE 34986
Property Tax ID 4: 3321-801-0052-000-3 Lot No.52
Site Plan Name: RESERVE PLANTATION-PHASE I-LOT 52(OR 567-1686:941-116) Block No.
Project Name: Water heater replacement
Replacing water heater in master bathroom closet with a 40 gal electric tank style water heater
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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:
Cost of Construction:$ 1500 Utilities: _Sewer _Septic Building Height:
Name Robert E Deery Name:ROBERT LUDLUM
Address:7717 WEXFORD WAY Company:BENJAMIN FRANKLIN PLUMBING
City: PORT SAINT LUCIE State:— Address:1631 SW SOUTH MACEDO BLVD
Zip Code: 34986 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-871-9494 Zip Code: 34984 Fax: 772-871-9069
E-Mail: Phone No 772-871-9494
Fill in fee simple Title Holder on next page(if different E-Mail PERMITS@BENFRANKLINPLUMBER.COM
from the Owner listed above) State or County License CFC1426801
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
05/14/2019 12:32 FAX 12002/003
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:, X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: )c Not Applicable BONDING COMPANY: Not Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no represustructure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS 1 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SIT ; c RE THE FIRST INSPECTION. IF YOU INTEND TO OBT I' 'NANCING, CONSULT
WITH YOU:„ END,.,$ • • i% ! •NEY BEFORE RECORDING YOU' ' s • OF,COM 7 NT."
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Si:, t -`• Owne lessee/Contractor as Agent for Ow er Sign VIM Contractor cense-• der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The for ping instrument was acknowledged before me The for Ding instrument was acknowledged before me
this /V day of /flay ,20/9'by this /44 day of /n ,20 /f by
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Name of person making statement. Name of person making statement.
Personally Known /./- OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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