HomeMy WebLinkAboutbuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/28/2020
Permit Number:
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ti 'Il ky
p c E' fl -. Building Permit Application
Planning and Development. Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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PERMIT APPLICATION FOR:WATER HEATER TANK REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 6724 ALHELI, FORT PIERCE, FL 34951
Property Tax I D #: 1306-500-0041-000-6
Site Plan Name: WATER HEATER TANK REPLACEMENT
Project Name: WATER HEATER TANK REPLACEMENT
DETAILED DESCRIPTION OF WORK:
INSTALLING 50 GALLON ELECTRIC WATER HEATER IN THE GARAGE OF HOME
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 3
Block No. 39
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors J Pond
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 1800.00
Generator
Sq. Ft. of First Floor:
Roof Pitch
NIA
Utilities: —Sewer —Septic Building Height: N/A
OWNERAESSEE:
CONTRACTOR:
Name DANIEL E. EURO
Name: MATTHEW BLACK
Address:6724 ALHELI CT
City: FORT PIERCE State: _
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: 6945 NW LTC PARKWAY
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No (772) 871-9494
E-MailPERMITS@BENFRANKLINPLUMBER.COM
State or County LicenseCFC1430437
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ay+Ln
COUNTY OF %JI a' I n
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Swop to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
> Physical Presence or Online Notarization
f/Ph sical Presence or Online Notarization
this � day of Cit'( _'2020 by
this g day of 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
ersonally Known � OR Produced Identification
Type o en i ication
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SUPERVISOR
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