HomeMy WebLinkAboutPERMIT APPLICATION FOR 8912 ONE PUTT PLACE, PSL, FLAll APPLICABLE lNFO MUST BE COMPLETED FOR APPLICATION TD BE ACCEPTED
Date: 12/01/2020
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercia I
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: �772) 462-1553 Fax: (772j 462-1578
Residential X
PERMIT APPLICATION FOR:WATER HEATER REPLACEMENT -LIKE KIND
PROPOSED IMPRDVEMENT LOCATION:8912 ONE PUTT PLACE, PORT SAINT LUCIE, FL
Address: 8912 ONE PUTT PLACE, PORT SAINT LUCIE, FL 34986
Property Tax ID #: 3334-500-0026-000-8
c�+e clan Namp• POD 33 AT THE RESERVE PHASE 1 KINGSMILL
or,.�o.-+ n��.,•,o• SECTION 341 TOWN 36S 1 RANGE 39E
DETAILED DESCRIPTION OF WORK:
REPLACE A LIKE KIND 80 GALLON SOLAR WATER HEATER IN GAKA(�t
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.16
Block No.
Mechanical
Gas Tank
_Gas Piping
_Shutters
_Windows/Doors
_ Pand
Electric
� Plumbing
,Sprinklers
_Generator
� Roof
Pitch
Total 5q. Ft of Construction:
Cost of Construction: $ 2,400.00
Sq. Ft. of First floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
Name MATTHEW BOYD
Address:8g12 ONE PUTT PLACE
City: PORT SAINT LUCIE State: �
Zip Code:'34986 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]
CONTRACTOR:
Name: MATTHEW BLACK
Company:BENJAMIN FRANKLIN PLUMGING
Address:8�6b NW LTC PARKWAY
City: PORT SAINT LUCIE State;FL
Zip Code: 34986 Fax: 772-871-9069
Phone No772-871-9494
E-Mail PERMITS@gENFRANLINPLUM6ER.COM
State or County LicenseCFC-1430437
If value of cvnstructlan is 25i?0 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,5a0 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
State
FEE 51MPLE TITLE HOLDER: x Nat Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:,
x Not Applicable
State:
BONDING COMPANY: x Not Applicable
Name:
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 restrictY rpp yhlbit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma a I
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 attorne befo mencin work or recordin our Notice of Commencement.
Signature of caner/Lessee/Contractor as Agent far Owner
STATE OF FtORIDA
COUNTY OF SAINTLUCIE
Sworn to for affirmed) and subscribed before me of
x Physical Presence or Online Notarization
th15 1 day Of DECEMBER , 2�2C) by
JULIE MCCAULEY
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
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REVIEWS FRONT ZONING
COUNTER REVIEW
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RECEIVED
PATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF SAINTLUCIE
Sworn to (or affirmed) and subscribed before me of
X Physical Presence qr �_ Online Notarization
th15 � day of DECEMBER � 2�20 by
lUL1E MCCAULEY
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signs r�� 'J�Iotary P,�y��g��jt�Lhlorid )
Natary Public •State of Florida
Commi � Commission � HH 49824 ealj
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SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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