HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/18/19
Permit Number:
nammommax, W �
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 /
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential I/
PERMIT TYPE: Water Heater Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 7743 Greenbrier Cir - Port St. Lucie, FL 34986
Property Tax ID #: 3322-700-0085-000-6
Site Plan Name:
Project Name: Water Heater Replacement
DETAILED DESCRIPTION OF WORK:
Install 50 gallon electric tank -style water heater in garage.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Lot No.80
Block No.
_Mechanical _ GasTank _ Gas Piping _ Shutters _ Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1700.00
Sq. Ft. of First Floor:
Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mary Anne Niemann
Name: Robert W. Ludlum
Address: 7743 Greenbrier Cir
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: _
Zip Code: 34986 Fax: n/a
Phone No. 772-871-9494
Address:1631 SW South Macedo Blvd
City: Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No 772-871-9494
E-Mail:n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@benfranklinplumber.com
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 SIT FORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN, ANCING, CONSULT
WITH YOUR LtNDER O N ATTORNEY BEFORE RECORDING YOUR NOTICE Of COMME ENT."
Signature of
STATE OF FLORIDA
COUNTY OF St. Lucie
actor as Agent for Owner
The forgoing instrument was acknowledged before me
this 18 day of June 20 J_ by
Robert W. Ludlum
Name of person making statement.
Personally Known
Type of Identification
Produced
A A ii
ignatur6of Notary Public -
Commission No. 00066499
MY COMMISSION # GG066499
c==RES January 26, 2021
of Florida )
(Seal)
Signature_ crrtrz(ct r. T' e
STATE OF FLORIDA
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
this 18 day of June , 20_d by
Robert W. Ludlum
Name of person making statement.
Personally Known k Y► 4?R WiRldld1�L#�WANilEz
Type of Identificati d�, MY COMMISSION # 00066499
Produced '� anuarv26.2021
(Signature of Notary Public- h1ate of Florida )
Commission No. 00066499
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. L/ // 17