HomeMy WebLinkAboutBuilding Permit Applicaiton 06/04/2019 15:38 FAX 001/006
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: 06/04/2019 Permit Number:
RECEIVED
JUN 0 5 1019
Building Permit Application p n,,186ing Departme It
Planning and Development Services 5t,tS!cie county
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
I
PERMITTYPE:Water Heater Replacement
Address: 5601 RAINTREE TRAIL FORT PIERCE 34982
Property Tax ID#: 3402-610-0016-000-1 Lot No.36
Site Plan Name: INDIAN RIVER ESTATES-UNIT 00-BLK 59 LOT 36 (MAP 34/11 N)(OR 723-280) Block No. 59
Project Name: TISCHBIN WATER HEATER REPLACEMENT
INSTALL OWNER SUPPLIED ELECTRIC TANK STYLE 50 GAL WATER HEATER IN THE GARAGE
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
i
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
I
Cost of Construction:$ 91*0.oa Utilities: —Sewer _Septic Building Height:
Name William M Tischbin Name:Robert Ludlum j
Address: Raintree Tri Company:Benjamin Franklin Plumbing
City:,Fort Pierce State: PL Address.1631 SW South Macedo Blvd
Zip Code: 34982 Fax: City: Port St. Lucie State:FI
Phone No.772-871-9494 Zip Code: 34984 Fax. 772-871-9069
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM 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 LicenseCFC1426801
If value of construction is$Z500 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.
I
I
06/04/2019 15:38 FAX Q00,9/006
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: 9 Not Applicable l
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: it Not Applicable BONDING COMPANY: YNot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
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'thepermit holder to build the subject structur
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 I AND
POSTED ON THE JOB SITE XFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAI NG, CONSULT
WITH YOUR LENDER ORA@&ATFORNEY BEFORE RECORDING YOUR NOF COM
ure of ssee/Contractor as Agent for Owner Si a on cto icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me The for ling Instrument was acknowledged before me
this V day of 7gWy" rlam
L .20�by this day of '7Ty KG .20_1 by
I
A,6el LbG-JraM
Name of person making statement. Name of person making statement.
Personally Known_ OR Produced Identification Personally Known 4 OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si=ission
f Notary Public- ignatur otary Publi
Notary Public State of Florida Not Puqq a Stw of Florida
CoNo. 1_06J)Graham ommi Sion No. Lest( I ham
+� My Commission GG 296502 , MY Commismim 00 296502
qa Expires 01/3012023 �a A Expires 01x=023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
i