HomeMy WebLinkAbout5608 SUN VALLEY DR PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/3/2020 Permit Number:
-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential x
PERMIT TYPE: PLUMBING SEWER LINE REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 5608 SUN VALLEY DRIVE FORT PIERCE FL 34951
Property Tax ID #: 1312501-0073-000-1 Lot No. 138
Site Plan Name: PORTOFINO SHORES (PB 43-6) LOT 138 (OR 3427-2101) Block No.
Project Name: SEWER LINE REPAIR
DETAILED DESCRIPTION OF WO:. ,
replace up to 30 feet of 4 inch PVC ; Install 4 inch two way clean out at the house run new sewer line from that point to roughly 20 feet out.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_Electric X Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 4595.30
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LES
CONTRACTOR: _-
NameDaniel F Sullivan
Name: MATTHEW BLACK
Address:68 Hunt Dr
Company. BENJAMIN FRANKLIN PLUMBING
City: Florida State: F1
Zip Code: 10921 Fax:
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 N0772-871-9494
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
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:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:_
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_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 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 FINANCING, CONSULT
Signature of Owner/Lessee/Contractor as Agent for Owner I Signature ofContractor/License Holder
STATE OF FLORIDA
COUNTY OFsTwaE
STATE OF FLORIDA
COUNTY OFsnuclE
The forgoing instrument as acknowledged before me The forgoing instrume was acknowledged before me
this � day of�� 20 W by this _=day of �-_,20 ZO by
M,yff—&a&A_ mot tC sta&k
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
Commission No.
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REVIEWS
RECEIVED
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of No Public- State of Florida)
Commission No. (Seal
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PLANS I VEGETATI
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