HomeMy WebLinkAboutBuilding Permit Application 05/24/2019 13:29 FAX Z001/006
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/24/2019 Permit Number: � )n 3t)C943
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.._•....__—..__• Building Permit Application �mttpgo ar yens
Planning and Development Services Pe St,�uc�e
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMITTYPE:WATER HEATER REPLACEMENT
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Address: 87 AQUA RA DRIVE JENSEN BEACH 34957
Property Tax ID#: 4511-815-0013-000-7 Lot No.4
Site Plan Name: RIVER WATCH BLK 4 LOT 4(OR 4090-1015) Block No. 4
Project Name: RAMGOLAN WATER HEATER REPLACEMENT
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REPLACE OWNER SUPPLIED 50 GAL ELECTRIC TANK STYLE WATER HEATER IN CLOSET,GARAGE LEFT HAND SIDE
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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 y Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 500 Utilities: _Sewer _Septic Building Height:
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Name
.?Name Peter H Ramgolam Name:ROBERT LUDLUM
Address:3357 Lindbergh AVE Company:BENJAMIN FRANKLIN PLUMBING
City: Oceanside State:A Address:1631 SW SOUTH MACEDO BLVD
Zip Code: 11572 Fax: City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 772-871-9069
E-Mail: Phone No772-871-9494
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. •
05/24/2019 13:29 FAX Z002/006
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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: it Not Applicable BONDING COMPANY: z 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.
5t.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 OBTNANCING, CONSULT
WITH YOUR LENDER 011,;,1ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO �. ' '_,' T."
Sign.1-''e of Ow essee/Contractor as Agent for Owner Sig ice. :-•. ontracto 'License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ..77A COUNTY OF .Sf ,L✓e.,c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Vi day of Pi ty ,20L by this 2.5—clay of PTA y J 2011 by
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Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signator- o Notary Public-State of• orida (Signature o •
Public Stets of Florida
Comm.' ion No. N�yglpubii°State ofFlorida i•mmission No. aIIDGraharriSeal)
rN. L`1f31C C!Graham °omission GO 294502
� Jr My Commission GO 200502
a le Expires•1/30/2023 w�j Expires 01/30/2023
REVIEWS FRONT ZONING SUPERVISOR 'LANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19