HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/23/2019 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMITTYPE:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 780 LOMAS ST PORT ST LUCIE FL 34952
Property Tax ID q: 3419-515-0159-000-5 Lot No.2
Site Plan Name: RIVER PARK -UNIT 3- BLK 26 LOT 2 (MAP 34/22S) (OR 873-2081: 873-2083) Block No. 26
Project Name: WILSON WATER HEATER REPLACEMENT
DETAILED DESCRIPTION OF WO'
REPLACING 50 GAL ELEC TANK STYLE WATER HEATER IN GARAGE SAME FOR SAME
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:.
Cost of Construction: $ 1500
_ Generator
Sq. Ft. of First Floor:
—Windows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJohn P Wilson
Name:ROBERT LUDLUM
Address:780 LOMAS ST
Company: BENJAMIN FRANKLIN PLUMBING
City, PORT ST LUCIE State: _
Zip Code: 34952 Fax:
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 No772-871-9494
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM
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
IT value Or cons[ruanm rs>eaw or more, a necunueu notice Ot wounencement is required.
If value of HVAC is $7500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in win ict with any applicable Home Owners Association rules, bylaws or antl covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENFS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFO IHE FIRST INSPECTION. IF YOU INTEND -IQ OBTAIN FWANCING,-WWSULT
STATE OF FL6R16A STATE OF FLORID,
COUNTY OFar wCIe COUNTY OFsnuue
The f--or$gpping instrument was acknoWedg eThe forgoing instrument was acknowledgebefore me
this May of JULY 20�fore me by this / day o20
P f+utY r�ri
Name of person making statement. Name of person king statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced _
No. '' Notuy PuelSg9 WFamla Commission o.
ali D Orehem Sys, PuSYbV
1, i A.CwmwmGGzeawz .Iki. _
REVIEWS EJORI PLANS "
COUNTER
RVIEW I REVIEW REVIEW IREVIEW
BUILDING & CODE REGULATION DIVISION
S 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
772-462-1553
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE:
Permit #
Credit Card Users: 1.50/a Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
VISA MASTERCARD
Credit Card Number
Expiration Date 3 Zip Code 3N98r1
3 digit security code !06
Amount $ + 1.5% surcharge
Business Name: L-3d241ai '-1 Fe4�W,. ,y/r ir, b:Ho
Authorized Signature:
Print Name: VateA
Phone: C 77z-) 9-7t - 9Y4zs
Fax: (�,L,) V71 - 4069
Comments:
SLCPMD Revised 4/01/2010 EN