HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/29/2020 Permit Number:
• R,
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
PERMITTYPE:WATER HEATER CHANGE OUT
Address: 9422 POINCIANA COURT FORT PIERCE FL 34951
Property Tax ID #: 1334503-0012-000-0 Lot No.10
Site Plan Name: MEADOWOOD UNIT ONE LOT 10 (.17 AC) (OR 1081-1046; 3456-99) Block No.
Project Name: Sponenburgh tankless water heater
DETAILED DESCRIPTION OF WORK:
REPLACING 5o GAL LP GAS TANK STYLE WATER HEATER WITH A NAVIAN LP GAS TANKLESS WATER HEATER IN GARAGE
CONSTRUCTION INFORMATION:
Additional work to be performed under this
permit —check all
that apply:
_Mechanical _Gas Tank
_Gas Piping
_Shutters
_Windows/Doors
_ Electric ,� Plumbing
_ Sprinklers
_ Generator
_ Roof Pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction:$ 3000. 0o
Utilities:
_Sewer _Septic
Building Height:
Name Norman Sponenburgh
Address:9422 Poinciana Ct
City: Fort Pierce State: �L
Zip Code: 34951 Fax:
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)
Company: BENJAMIN FRANKLIN PLUMBING
Address: 1631 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax:
Phone No 772-871-9494
E-Mail PERMITS@BENFRANKLI NPLUMBER.COM
State or County UcenseCFC1430437
of construction is $2500 or more, a RECORDED Notice of Commencement
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION:IJ _ .. _INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:_
City: State:_
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: A Not Applicable
BONDING COMPANY: _9Not 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 conWict 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 FINANCING, CONSULT
WITH 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 OF SfL,`c. `
COUNTY OF 6f
The forgoing instrument was acknowledged before me
this "day of `iGn 20LO by
The forgoing Instrument was acknowledged before me
this Zy day of :''n 20 ZP/ by
n%'f7`xAll eldal
g.
RfQ`Aw 8�4PX
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known X—OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(signatur Notary Publir t eof Florida)
(Signature of Nqt yPublic-St eo lords)
Commission No. �1y^ Novi D Grahamte d Fbrl
Leal•
Commission o%
-ysx N=q Pudic Slate d Florga
REVIEWS
FIR �4
x I.01M WMy
P VS
PLANS
VEGETATION
Comm
PI'TUR'NLIEe01
vm GG 299502
iRfi3GROVE
COU
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.