HomeMy WebLinkAboutBuilding Permit Applicaiton 06/11/2019 07:58 FAX 0 001/006
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/11/19 Permit Number: (
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Building Permit Ap0i itis
Planning and Development Services
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Building and ode Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITTYPE:Water Heater replacement
Address: 5942 ALEXANDRIA CIRCLE FORT PIERCE 34982
Property Tax ID#: 3410-503-0253-OQQ-O Lot No.1
Site Plan Name: PALM GROVE SID BLK J LOT 1 (0.12AC) Block No. J
Project Name: YENCHKO WATER HEATER REPLACEMENT
REPLACE WATER HEATER 50 GAL ELECTRIC TANK STYLE IN GARAGE
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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:$ 1200.00 Utilities: —Sewer —Septic Building Height:
NameANGELINE F YENCHKO Name:ROBERT LUDLUM
Address:5942 ALEXANDRIA CIR Company:BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State:_ Address:1631 SW SOUTH MACEDO BLVD
Zip Code: 34982 Fax: City: PORT ST LUCIE State:FL
Phone No. 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-MailPERMITS@BENFRANKLINPLUMBER.COM
from the Owner listed above) State or County License CFC1 426801
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.
06/11/2019 07:58 FAX 1&002/006
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: x Not Applicable BONDING COMPANY: xNot 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 Count 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 OBTAIN FINANCING, CONSULT
WITH YOU LENDER ORAWATTORNEY BEFORE RECORDING YOUR NOTI OF COMMEN T."
Si atuo L e Contractor as Agent for Owner Sign Co or/Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_&day of b /�j� .20/�by this day o/f / / 20_y
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Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known L," OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign atu of Notary Public-,St ature of 'ary Public- r'
Notary Public State of Flori ' N�gry�P blic State of Florift
Commission No. 4A S&2#i 0 Graham Co ission No. Lels7lQl��mharn
MY Commission GG 29850
�ya,tidf Expires 01130/2023 Commission GG 28880;
q, ExpiM601/3012023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
DATE
COMPLETED
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