HomeMy WebLinkAbout8020 KIAWAH TRACE, PSL, FL 34986 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/09/2020 Permit Number:
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V L C,, a E E0,� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, fort Pierce Ft 34982
Phone: (772) 462-1553 Fax- (772) 462-1578
PERMIT APPLICATION FOR:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 8020 KIAWAH TRACE, PORT SAINT LUCIE, FL 34986
Property Tax ID #: 3327-705-0016-000-2 Lot No. 15
Site Plan Name: POD 25 AT THE RESERVE LOT 15 (OR 1795-1903) Block No.
Project Name: Site Address: 8020 KIAWAH TRCEUse Type: 0100SeclTown/Range: 33/36S/39E
[DETAILED DESCRIPTION OF WORK:
REPLACE WATER HEATER - LIKE KIND - 50 GALLON ELECTRIC IN GARAGE
New Electrical Meter NIA 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: $ 1900.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameROBERT WYDER Name: MATT BLACK
Address:8020 KIAWAH TRACE Company: BENJAMIN FRANKLIN PLUMBING
City; PORT SAINT LUCIE State: Address:6945 NW LTC PARKWAY
Zip Code: 34986 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 t@i BENFRANKLINPLUMBER.COM phone No772-871-9494
Fill in fee simple Title Holder on next page ( if different E-Mail PERMITS a@7BENFRANKLINPLUMBER.COM
from the Owner listed above) State or County License CFC-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 LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 ano 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 lobsite 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 FLORIDA
COUNTY OF Of L .cub
Swo n to (or affirmed) and subscribed before me of
voo Physical Prese ce or Online Notarization
this -1 day of 2020 by
MATT BLACK
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced _
`:, Notary Public - State of Florida
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Bonded through Rational Notary Assn.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF , - LU.G1 G
Sworn to (or affirmed) and subscribed before me of
�/ Physical Presence or Online Notarization
this � day of ffl"QV 2020 by
MATT BLACK
Name of person making statement.
Personally Known y"" OR Produced identification
Type of Identification
Produced
(Signatu-Tary u , O %Eta Aida
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Commissi Commission m HH 491124
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW