HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/27/2021 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:WATER HEATER REPLACEMENT
PROPOSED IMPROVEMENT LOCATION: 6016 SANTA MARGARITO DR, FORT PIERCE, FL
Address: 6016 SANTA MARGARITO DRIVE, FORT PIERCE, FL 34951
Property Tax ID #: 1312-502-0014-000-3 Lot No. 7
tiro elan Nnma- PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 7 (OR 3609-1360) Block No_
Drnior"t Mama• Sec;/Town/Range: 12/34S/39E
DETAILED DESCRIPTION OF WORK:
REPLACE 50 GALLON ELECTRIC WATER HEATER IN GARAGE - Lira KIND KteLAut:mrzij
New Electrical Meter N/A 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:
Cost of Construction: $ 1900.00
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCAROL DEVILLIERS
Address: 1402 AUBURN WAY N. APT 359
City: AUBURN State:
Zip Code: 98002 Fax: N/A
Phone No.253-285-9885
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
Phone No 772-871-9494
E-Mail:N/A
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
it value of construction is z5uu or more, a KC4VK1JC1J NVULC v7 <.Vrnrn Cn6crf,Cn%. y.w.
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
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
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.
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Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S f L COUNTY OF �& ,u
Swgrn to (or affirmed) and subscribed before me of 5wo� to for affirmed) and subscribed before me of
;/ physical Presence or Online Notarization ✓ Ph]+sical Presence or Online Notarization
this � day of _-J&rli [ al'�L _ 2021 by this 2 / day of 2020 by
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Name of person making statement. Name of person making statement.
Personally Known ,L/ OR Produced Identification
Type of Identification
Produced
4;pr JULIE JANE MCCAULEY
Corp b, Notary Pudic • State of Florida
oMMISS an 124
My (;omm. Expires Ott 1, 2024
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DATE
RECEIVED
DATE
COMPLETED
Personally Known OR Produced Identification
Type of Identification
Produced
(Signat )
JULIE JANE MCCAULEY
Notary public - State of Florida eal)
Commi 49124
,,°` n My Comm. Expires Oct 1, 2024
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