HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/23/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
X
PERMIT APPLICATION FOR: WATER HEATER REPLACEMENT- LIKE KIND
PROPOSED IMPROVEMENT LOCATION:
Address: 9432 POINCIANA COURT, FORT PIERCE, FL. 34951
Property Tax ID #: 1334-503-0007-000-2 Lot No.
Site Plan Name: MEADOWOOD UNIT ONE LOT 5 (.17 AC) (OR 1289-1928) Block No.
Project Name: SecfTown/Range: 34/34S/39E
DETAILED DESCRIPTION OF WORK:
REPLACING 50 GAL ELECTRIC WATER HEA I EK IN uAKAIaC
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 Plumbing _ Sprinklers _ Generator r Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGranville Wills Jr
Name: MATT BLACK
Address: 9432 Poinciana Ct
Company:BENJAMIN FRANKLIN PLUMBING
City: FORT PIERCE, FL. State: r
Address:5945 NW LTC PARKWAY
Zip Code: 34951 Fax:
City: PORT SAINT LUCIE State: FL
Phone No. 772-595-1465
Zip Code: 34986 Fax:
E-Mail: N/A
Phone No772-871-9494
Fill in fee simple Title Holder on next page ( if different
E-MaiIPERMITS@BENFRNAKLINPLUMBER.COM
from the Owner listed above)
State or County License CFC-1 430437
If value of construction is 2500 or more, a RECORDED Notice of Commencement
is required.
If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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.
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
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Swoxn to (or affirmed) and subscribed before me of
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Rev. 5/6/20