HomeMy WebLinkAbout6257 ALEXANDRIA CIRCLE, FORT PIERCE, FL 34982 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2020 Permit Number:
U.UCQE
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORWATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 6267 ALEXANDRIA CIRCLE, FORT PIERCE, FL 34982
Property Tax ID #: RESIDENT Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE KIND WATER HEATER - 50 GALLON ELECTRIC IN GARAGE
New Electrical Meter NIA Second Electrical MeterNIA
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: $ 1,700.00 Utilities: —Sewer _ Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name CHUCK SNELSON
Name: MATTHEW BLACK
Address:6257 ALEXANDRIA CIRCLE
Company: BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State:
Zip Code: 34982 Fax:771-871-9069
Phone No. 771-871-9494
Address:6495 NW LTC PARKWAY
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 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 CFG-1430437
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 LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: N/A Name: WA
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: NIA
Address:
City:
Zip: Phone:_
BONDING COMPANY: Not Applicable
Name: NIA
Address:
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 vour Notice of Commencement.
Rev. 5/5/20
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDASTATE
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Name of pers n making statement.
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Personally Known OR Produced Identification
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Type of Identificatj
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/5/20