HomeMy WebLinkAbout PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/07/2021
Permit Number:
�40 EUQG
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 FORMATER HEATER REPLACEMENT- LIKE KIND
PROPOSED IMPROVEMENT LOCATION:
Address: 122 RIOMAR DRIVE, PORT ST. LUCIE, FL. 34952
Property Tax ID #: 3419-515-0092-000-7
C:-& of ,, ki.... RIVER PARK -UNIT 3- BLK 22 LOT 28(MAP 34/22S)
Project Name: SeclTown/Range: 22/36S/40E
DETAILED DESCRIPTION OF WORK:
WATER HEATER REPLACEMENT - LIKE KIND, 30 GAL ELECTRIC IN LAUNDRY ROOM
New Electrical Meter N/A Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Lot No.28
Block No. 22
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: $ 1675.00
OWNER/LESSEE:
Name MATHAIS LIBARDI
Address:122 Riomar DR
City: PORT ST. LUCIE, FL. State:
Zip Code: 34952 Fax: N/A
Dhnnn Nn 772-871-9494
Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
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
rmmnnnv• BENJAMIN FRANKLIN PLUMBING
Address:6945 NW LTC PARKWAY
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax: 772-871-9069
Dhnna Nn772-871-9494
E-Mail PERMITS@BENFRANKLINPLUMBER.COM
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 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:
Name:_
Address:
City:
Zip:
Phone:
x Not Applicable
State:
BONDING COMPANY: xNot Applicable
Name:
Address:
r;r.,•
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.
5t. 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
oaan attorneposted on the before commensite � n the
work or recordinn lour Notice of Commencement.
ou intend to obtain financing, consult
w I ;rrl
re of owner/ L see/Contractor as Agent for
STATE OF FLORIDA._
COUNTY OF .��L-QG I P.
Sworn to (or affirmed) and subscribed before me of
,/ Physical Presence or Online Notarization
this � day of OLL— 2021 by
Name of person making statement.
Personally Known OR Produced Identification r�
Type of Identification
Produced ) rl111 `'
s. .w v'., JULIE JANE MCCA{JLEY
Notary Pupiic - 51ate of 171o1da.
Commis .��— �#
; �OFMy Comm.HH 49rl24"'"
Expires W 1, 2024
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF �f I
Swor to (or affirmed) and subscribed before me of
TPhysical Presence or Online Notarization
this �f . day of , 202f by
Name of person making statement.
Personally Known ✓ OR Produced identification
Type of Identification
Produced
Corn
SUPERVISOR I PLANS
REVIEW REVIEW
JULIE JANE MCCAULEY
N Puhiic • S to of Flor
Commission # HH 49824
My Comm. Expires Oct t, 2(
G MANGROVE
REVIEW REVIEW I REVIEW