HomeMy WebLinkAboutPERMIT APPLICATION - RE-PIPEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/05/2021 Permit Number:
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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;WHOLE HOUSE RE -PIPE
PROPOSED IMPROVEMENT LOCATION:
Address: 804 OLIVE STREET, FORT PIERCE, FL 34982
Property Tax ID #: 3410-601-0024-100-8 Lot No.3
Site Plan Name: WHITE CITY ESTATES BLK 2 S 1/2 OF LOT 3 (0.25 AC) (OR 3256-392) Block No. 2
Project Name: Sec/Town/Range: 10/36S/40E
DETAILED DESCRIPTION OF WORK:
WHOLE HOUSE REPIPE
REPLACED HOT AND COLD WATER LINES IN ATTIC
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 A Plumbing _ Sprinklers _ Generator ^ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7881.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMELVIN NEWMAN Name: MATT BLACK
Address:804 OLIVE STREET Company:BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE State: Address:6945 NW LTC PARKWAY
Zip Code: 34982 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 No772-871-9494
Fill in fee simple Title Holder on next page ( if different E-Mail PERMITS(§BENFRANKLINPLUMBER.COM
from the Owner listed above) 5tate 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:
Address:
City:
Zip: Phone
State
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: x Nat 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 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _ day of 4 rc •r 2024 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this b day of 202# by
or
Name of person making statement. Name of person making statement.
Personally Known —"' OR Produced Identification
Type of Identification
Produced
" °i►*Y JULIE JANE MCCAULEY
_ F • Notary Public - State of Fl9c�.da
Commissi HH 49824t )ea
oFrti:•` My Comm. Expires Oct t, 2024
Bonded through National Notary Assn.
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Personally Known '.�
Type of identification
Produced
OR Produced Identification
(SignatuWe Publidu13tal [fi=6artL6a )
f. Notary Public • State of Florida
Commission d HH 4982
Commissio •..��. , Kx ires Oct 1
Bonded through National Notary Assn.
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
NOTICE OF COMMENCEMENT
Permit No. APPLIED FOR
State of Florida, County of St. Lucie
Property Tax 1D No. 3410-601-0024-100-8
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available
WHITE CITY ESTATES BLK 2 S 112 OF LOT 3 (0.25 AC) (OR 3256-392)
General description of improvements WHOLE HOUSE RE -PIPE IN ATTIC
Ownerflessee MELVIN T NEWMAN
Address 804 OLIVE STREET, FORT PIERCE, FL 34982
Interest in property: OWNER
Fee Simple Title holder (if other than owner) NIA
Address
Contractor BENJAMIN FRANKLIN PLUMBING Phone # 772-871-9494
Add 6945 NW LTC PARKWAY Fax # 772-871-9069
ress
Surety NIA
Phone #
Address NIA
Fax # NIA
Amount of Bond NIA
Lender NIA
Phone # NIA
Address NIA
Fax # NIA
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
NIA
Phone #NIA
Name
Address NIA
Fax # NIA
In addition to himself, owner designates NIA
of
NIA
Phone # NIA
Fax # N/A
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THI: EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE. CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT M17ST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE, FIRST INSPECTION. IF YOU FNTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDUR OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Owner/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partnerfaianaper/ Signature
Signatory's Title/Office
State of Florida, County of SAINT LUCIE
Acknowledged before me this 5 , day of JANUARY 20 21 b-, SELF
who is personally known tome or who has produced as identification.
JULIE MCCAULEY
Sig&ture of Notary Type or Print Name of Notary (Seal)
Title: Notary Public Commission Number J i.46 '"4 €+~►EfAt]LEY
Notary Public - State of Florida
CORIMIS$ion # HH 49824
of M ..•' My Comm, Expires Oct 1, 2024
Bonded through Nationat Notary Assn.