HomeMy WebLinkAbout2989 CONIFER DRIVE, FORT PIERCE, FL 34951 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/0912020
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Permit Number:
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 FOR:REPLACE WATER HEATER
PROPOSED IMPROVEMENT LOCATION:
Address: 2989 CONIFER DRIVE, FORT PIERCE, FL 34951
Property Tax ID #: 1327-801-0078-000-3 Lot No. 189
Site Plan Name: MONTE CARLO COUNTRY CLUB -UNIT ONE- LOT 189 (OR 3940-2578; 3967-2399)
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE WATER HEATER WITH HYBRID - 50 GALLON IN GARAGE
New Electrical Meter NIA
Second Electrical MeterNlA
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Block No.
Mechanical
Gas Tank
_ Gas Piping
`Shutters
_ Windows/Doors
Pond
Electric
)(Plumbing
_ Sprinklers
, Generator
_ Roof
Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3100.00
Sq. Ft. of First Floor:
Utilities: _Sewer „Septic Building Height:
OWNER/LESSEE:
Name DAVID MULLIN
Address:2989 CONIFER DRIVE
City: FORT PIERCE State:
Zip Code: 34951 Fax:772-871-9069
Phone No. 772-871-9494
E -Mail: PERMITS@BENFRANKLINPLUMBER.COM
Fill in fee simple Title Halder on next page I if different
from the Owner listed above)
CONTRACTOR:
Name: MATT BLACK
Company: BENJAMIN FRANKLIN PLUMBING
Address:6945 NW LTC PARKWAY
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax: 772-871-9069
Ph,,, N n 772-871-9494
E -Mail PERMITS@BENFRANKLINPLUMBER.COM
State or County License CFC -1 430437
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: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:NIA
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Narre:NtA
Address:_
City:
Zip:
Phone:
Name: NIA
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X 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, wails, 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
COUNTY OF SAINT LUCIE
Sw n to (or affirmed) and subscribed before me of
P ysical Presence or Online Notarization
this day of /r%VG2thyX, 2020 by
MATT BLACK
Name of person making statement.
Personally Known ✓
Type of Identification
Produced
OR Produced Identification
(Signat b o..• g ary (j£tt§A01%6dAlJL9floa
`. Notary Public • state of Florida
Commission 0 HH 4982
Comm1551 sOct t MIS'
Bonded through Nationat Notary Assn.
REVIEWSI FRONT ZONING
COUNTER REVIEW
CE
COMPLETED
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
5wgrn to (or affirmed) and subscribed before me of
./Physical Presence or Online Notarization
this day of&Aeffl beg 2020 by
MATT BLACK
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
VOZt Notary Public State at Florida
Comm' s Commission 9 HH 49824 Seal)
'-.,,ov ry: ' y omm. ptte5 1, 2024
"Bonded through National Notary Assn.
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW