HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/26/2019 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: 3000 SATINLEAF LANE PORT ST LUCIE FL 34952
Property Tax ID p: 3425-702-0244-ODO-1 Lot No.19
Site Plan Name: SAVANNA CLUB -PLAT TWO- BLK 32 LOT 19 (OR 1113-2311: 3251-1715) Block No, 32
Project Name: WATER HEATER REPLACEMENT
DETAILED DESCRIPTION OF WORK:
REPLACE 30 GAL ELECTRIC TANK STYLE WATER HEATER IN UTILITY ROOM
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric Plumbing —Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 1200 Utilities: _Sewer _Septic
_Windows/Doom
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert J Bridgeman
Name: ROBERT LUDLUM
Addres0000 SATINLEAF LN
Company: BENJAMIN FRANKLIN PLUMBING
City: Port Saint 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: 772-671-9069
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 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
x Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: State: _ City: State:_
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
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 Assoc permit 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 IMPROVEMENT O YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOBPM FORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
MTN YCIUI A DFR OR ALLLLLL✓✓✓✓✓✓ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign o r/ /Contractor as Agent for Owner
Sign tra r/' se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST LUCE
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BUILDING & CODE REGULATION DIVISION
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/u 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 6/2416- 7 S2—q v` l—tSS,S9
Expiration Date to/Z3 Zip Code 3gf.FeG
3 digit security code 1105)45
Amount $ + 1.5% surcharge
Business Name: -
Authorized Signature:
Print Name: fir,
Phone: (27Z) 87i - 9
Fax: (��) 87/ - O
Comments:
SLC D R iced 4/O1/2010 EN