HomeMy WebLinkAboutBuildilng Permit AoplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/19/19 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pleme FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITTVPE:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 9609 LANDINGS DR PORT ST LUCIE FL 34986
Property Tax ID If: 3322-500-0023-000-0
Site Plan Name: FAIRWAY LANDINGS PARCEL 10 LOT 1
Project Name: SOLAR WH CHANGE OUT
kDONSTRUCTI'
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric 2(Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 50.00 Utilities: —Sewer —Septic
Lot No.'
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWI ER,4 ,�EEs - _
CQ.NTRACTOR:
Namedoanna Vanvleet
Name: MATTHEW BLACK
Address:9609 LANDINGS DR
Company: BENJAMIN FRANKLIN PLUMBING
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No.
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 CFC1430437
r varve an conscrucuun is >zauu or more, a newnueu nonce of wmmencement is mquveo.
H 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:
XNot 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 permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoction 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, 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
"YARNING 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 FINANCING, CONSULT
WITH YOUR) ENDER OR AN ATTORNErSEFGRE 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 OFsrwaE
COUNTY OFu LUCIE
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