HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/01/2020 Permit Number:
�o UW E! .
0
L IL o Q p
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 - LIKE KIND
PROPOSED IMPROVEMENT LOCATION:3223 S LAKEVIEW CIRCLE 20-4 HUTCHINSON ISLAND
Address: 3223 S LAKEVIEW CIRCLE, 20-4, HUTCHINSON ISLAND, FL, 34949
Property Tax ID#: 1426-502-0004-000-0 Lot No.
Site Plan Name: RIVERSIDE AT SANDS BLDG 20 UNIT 4 AND GARAGE #4 Block No.
Project Name: SECTION 26/TOWN 34S/RANGE 40E
DETAILED DESCRIPTION OF WORK:
REPLACE LIKE KIND 50 GALLON ELECTRIC WATER HEATER 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 _Pond
_Electric X Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1800.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR: I
Name RICHARD MCCOLLUM Name:MATT BLACK
Address:3223 SOUTH LAKEVIEW CIRCLE Company:BENJAMIN FRANKLIN PLUMBING
City: HUTCHINSON ISLAND State:EL, Address:6945 NW LTC PARKWAY
Zip Code: 34949 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 N0772-871-9494
Fill in fee simple Title Holder on next page( if different E-Mail PERMITS@BENFRANKLINPLUMBER.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 MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 c.gmvnencing work or recording our Notice of Commencement.
Signature of owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINTLUCIE
Sworn to for affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 1 day of DECEMBER 2020 by this I day of DECEMBER 2020 by
JULIE MCCAULEY JULIE MCCAULEY
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known�—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I
(Sig ature tj Publ
5i
=� Notary Dlublic.star of Florida g Notary
Public
lic-State
of EY
Flo
'� Notary Public-State at Florida
Commissi eommissiorsHHa98seal Commis coenrn��SauHag824 ( al)
of y Expires Oct t, t324 dF' My Comm.Expires A[t f,2Uz4
Banded throuSh National Notary Assn. ponded thr National Nat
ary Assn-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE j
RECEIVED
DATE T
COMPLETED J
lev. 576720