HomeMy WebLinkAboutBuilding permit applicaitonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/19/19 Permit Number:
Jr, _ rk
' — - 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 x
PERMITTVPE:WATER HEATER REPLACEMENT
PROPOSEDIMPROVEM
Address: 9609 LANDINGS DR PORT ST LUCIE FL 34986
Property Tax ID 1t: 3322-500-0023-000-0 Lot No.1
Site Plan Name: FAIRWAY LANDINGS PARCEL 10 LOT 1(OR 3057-757) Block No.
Project Name: SOLAR WH CHANGE OUT
Replacing under warranty 80 gallon solar electric water heater in garage
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric Z( Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 0.00 Utilities: _Sewer _Septic Building Height:
ONTRA
NameJoanna Vanvleet u Name: MATTHEW BLACK
Address: 9609 LANDINGS DR Company: BENJAMIN FRANKLIN PLUMBING
City: PORT ST LUCIE State: 61- Address: 1631 SW SOUTH MACEDO BLVD
Zip Code: 34986 Fax: City: PORT ST LUCIE State: FL
Phone No. Zip Code: 34984 Fax: 772-871-9069
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM Phone No772-871-9494
Fill in fee simple Title Holder on next page ( if different E-Mail PERMITS@BENFRANKLINPLUMBER.COM
from the Owner listed above) State or County License CFC1430437
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:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
X Not Applicable
BONDING COMPANY:
Name:
LT 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 County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 N 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
WFTH YOUR LENDER OR AN ATTORNEY -BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_"
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFST WaE
COUNTY OFST was
The fo,r$$ Ing instrument wasC. acknowledged before me
The for$�ing instrument was acknowledged before me
this_[�dayof /)E.20ff by
thisXdayof ,1je�__ .20,oY by
/?lath/vu� /ten /
/11lv&k't/ z
0/4_
Name of person making statement.
Name of person making statement.
Personally Known i% OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification&_
Type of Identification
Produced
Produced
(Sign a of Notary Pu -S le cof Florida)
(Signature of ry Public- ate lorida )
C mission No. (Seal)
Commissi No. Z z (Seal)
REVIEWS
FRO 0- O Pubi
PLANS
VEGET
E
COUN (F L DGr
ha ' REVIEW
qq���yy�qpp�ypnn
REVI g>isIfO6Yenam
E
DATE
- mx
ors evgres of/
ron sot
02a
my ommavon
�we Eepims 0IM1202
2965n2
RECEIVED
DATE
COMPLETED
Rev. </ r/ ♦v