HomeMy WebLinkAboutscan.SLC.REVISED.PERMIT.APP.COLD.SNGL.LN.RRTS.RPR.FLINN.BERTHA.10.01.2019.BFP.PSLAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ;i� to /01 r 2 ti
Permit Number
0U19Nlr
E L 0 R I m A
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 V
PERMIT TYPE: Single Water Supply Line Re -Route
PROPOSED IMPROVEMENT LOCATION: Residential
Address: 8604 Paso Robles Blvd - Fort Pierce, FL 34951
Property Tax ID #: 1301-611-0299-000-5
Site Plan Name:
Project Name Single Water Supply Line Re-Routej
Lot No.2
Block No. 115
DETAILED DESCRIPTION OF WORK:
Re-route three quarter inch single [cold] water supply line overhead from garage wall interior to manifold at kitchen wall interior.
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.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plurribing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Bertha M. F Inn
Name: Robert W. Ludlum
Address: 9804 Paso Robles Blvd
Company: Benjamin Franklin Plumbing
City: Fort Pierce State: _
Zip Code: 34951 Fax: nia
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: 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.
SOP,01LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not 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 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN LING, CONSULT
WITH YOUR LENDER OR AN ATIORKY BEFORE RECORDING YOUR NOTICE OF COMMENCE _O"
_e
Signature of Owne or as gen `for Owner
Signature of Con ctor ense Holder
STATE OF FLORIDA
STATE OF FLORIDA 44
,�-
COUNTY OF
COUNTY OF
The for oing instru nt wa acknowledged_l�fore me
this day of 20 yb
The forgoing instrumen ac nowledged�efore me
this ay of / 20 by
Name of person making statement.
Name of person making statement.
Personally Known f/ OR Produced Identification
Type of Identification
Produced ;:.eY';' •, MARIO L HERNANDEZ
MY OMMISSION # GG06649
EXPIRES January 26, 2021
Personally Known /
T e of Identification :�'�"'• MARIO L HERNAA6EZ
yP ;;p •
Produced =• •= MY COMMISSION # GG066499
- EXPIRES anuary 26, 2021
1'wI
i
Florida)
(Signature of Notary Public- SZ,94
Commission No, ,(iLy (Seal)
(Signature of Notary Public- State of Florida )
Commission No. & eo-p"!�t`Zy Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Existing 1
Property Identification
Site Address: 6804 PASO ROBLES BLVD — PORT ST. LUCIE, FL 34951 - Parcel ID: 1301-611-0299-000-5
Zoning: RS-4 County - Jurisdiction: Saint Lucie County - Parcel ID: 1301-611-0299-000-5
Ownership
Bertha M Flinn (LF EST)
6804 Paso Robles BLVD
Fort Pierce, FL 34951
Legal Description
LAKEWOOD PARK -UNIT 9- BLK 115 LOT 2 (MAP 13/01N) (OR 643-2638; 3814-2660).