HomeMy WebLinkAbout3200 NORTH HIGHWAY A1A #1008, HUTCHINSON ISLAND, FL 34949, PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/04/2020
Permit Number:
-0 k -al Vd -1en, c U � .f c' i 131 z c
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FORWATER HEATER EXCHANGE - LIKE KIND
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 NORTH HIGHWAY AIA, #1008, HUTCHINSON ISLAND, FL 34949
Property Tax I D #: 1425-600-0094-004-51 SEA PALMS UNIT 1008 AND PRO -RATA SHARE IN COMMON ELEMEN i S
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
30 GALLON ELECTRIC WATER HEATER IN CLOSET IN THE AC ROOM - LIKE KIND REPLACEMENT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
,Mechanical
Electric
Gas Tank
— Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,500.00
_ Gas Piping Shutters ^ Windows/Doors _ Pond
_ Sprinklers _ Generator Roof Pitch
Sq. Ft, of First Floor:
OWNER/LESSEE:
NameHERIBERTO RODRIGUEA
Address: 3200 N. HIGHWAY A1A APT. 1008
City: HUTCHINSON ISLAND State:
Zip Code: 34949 Fax.772-871-9069
Phone No. 771-871-9494
E -Mail: PERMITS@BENFRANKLINPLUMBER.COM
Utilities: —Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: MATTHEW BLACK
Company: BENJAMIN FRANKLIN PLUMBING
Address:6945 NW LTC PARKWAY
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax: 772-871-9069
Phone N0772-871-9494
E Mai IPERM IT3@BENFRANKLINPLUM BER.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: i Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: ,Not Applicable
Name:
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.
1 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 undergoiiig 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 aobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOIF
COUNTYOF.1 . , 't
Sworn to (or affirmed) and subscribed before me of
t4 ysical Pres ce r Online Notarization
this day of 2020 by
U Ji ",2) .
ame of person making statement.
Personally Known ✓ OR Produced Identification
Type of IdentSQ;atjpn
f �r
(Sign atu� ,'o i iry Pu/b�lic- Stat
Commission No.U%a
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Notary Pubhc State of Fi
Sherry Underhill
My Commiseton HH 001
(Seal)
ZONING
REVIEW
Signature of Con actor/License Holder
STATE OF FLORIDA
COUNTY OF S • L C✓
Sworn to (or affirmed) and subscribed before me of
_ v� Physical Pmsence or Online Notarization
this _L�__ day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Tvne of Identification
SARANLSOLAND
ICY COMMiB,SM III GG 2487
EMPIRES: A1lguat 18, 2022
ure of Notary Public -
Commission No. (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW