HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/29/2020 Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:WATER HEATER CHANGE OUT LIKE KIND
PROPOSED IMPROVEMENT LOCATION:
Address: 5215 DEER RUN DRIVE, FORT PIERCE, FL 34951
Property Tax ID#: 1313-502-0029-000-4 Lot No.452
Site Plan Name: HOLIDAY PINES S/D-PHASE III Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
WATER HEATER REPLACEMENT- LIKE KIND- 50 GALLON ELECTRIC IN GARAGE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical _.Gas Tank Gas Piping _Shutters Windows/Doors i Pond
Electric )( Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1600.00 Utilities: _Sewer _Septic Building Height:
OW N ERAESSEE: CONTRACTOR:
Name MARK HOPKINS Name:MATTHEW BLACK
Address:6215 DEER RUN DRIVE Company:BENJAMIN FRANKLIN PLUMBING
City. FORT PIERCE State:_ Address:6945 NW LTC PARKWAY
Zip Code: 34951 Fax:772-871-9069 City: PORT SAINT LUCIE State:FL
Phone No.772-871-9494 Zip Code: 34986 Fax: 772-871-9069
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM Phone No772-871-9494
Fill in fee simple Title Holder on next page(if different E-Mail PERM ITS@BENFRANLINPLUMBER.COM
from the Owner listed above) State or County License CFG-1430437
If value of construction is 25Do 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 MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not 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 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA� STATE OF FLORIDA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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