HomeMy WebLinkAbout618 BEACH AVENUE, PORT SAINT LUCIE, FL 34952 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2020 Permit Number:
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P 11 ° 'Q E ID � 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. REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 618 BEACH AVENUE, PORT SAINT LUCIE, FL 34952
Property Tax ID #: 3419-510-0115-000-0 Lot No. 19
Site Plan Name: RIVER PARK -UNIT 2- BLK 13 LOT 19(MAP 34122N) (OR 214-2793) Block No. 13
Project Name: Sec/Town/Range: 22/36S/40E
DETAILED DESCRIPTION OF WORK: E
REPLACE LIKE KIND WATER HEATER - 50 GALLON ELECTRIC IN GARAGE
New Electrical Meter N/A Second Electrical MeterN/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric — Plumbing , Sprinklers — Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1,600.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CAROLE A LAMPLOUGH (EST)
Name: MATTHEW BLACK
Address: 618 BEACH AVENUE
Company: BENJAMIN FRANKLIN PLUMBING
Address:6945 NW LTC PARKWAY
City: PORT SAINT LUCIE State: _
Zip Code: 34952 Fax: 772-871-9069
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)
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax: 772-871-9069
phone No772-871-9494
E -Mail PERMITS@BENFRANKLINPLUMBER.COM
State or County License CFC -1 430437
is required.
is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: , Not Applicable
Name: NIA
Narne:NIA
Address:
Address:
City: State:
Zip: Phone
City: State'.
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name: NA
Name:111A
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.
5t. 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
STATE OF FLORID
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Phgical Pre nc r Online Notarization
this day of 2020 by
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Name of p rson making statement.
Signature of Contractor/License Holder
STATE OF FLORIDAI
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Sw°f n to (or affirmed) and subscribed before me of
Ph 'cal Pres e r Online Notarization
this C& a�oof 2020 by
Name operson making statement.
Personally Known OR Produced Identification
Personally Known i✓ OR Produced Identification
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REVIEW REVIEW
DATE
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