HomeMy WebLinkAbout4706 EL NUEVA AVE, FORT PIERCE, FL. 34946 PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/05/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: WATER HEATER REPLACEMENT- LIKE KIND
PROPOSED IMPROVEMENT LOCATION:
Address: 4706 EL NUEVA AVE, FORT PIERCE, FL. 34946
Property Tax ID#: 1431-703-0025-000-6 Lot N0.4
Site Plan Name: HARMONY HEIGHTS ADDN NO 3 BLK B W 112 OF LOT 3 AND ALL LOT 4 (OR 509-226) Block No.
Project Name: WATER HEATER REPLACEMENT- LIKE KIND
DETAILED DESCRIPTION OF WORK:
WATER HEATER REPLACEMENT- LIKE KIND
50 GAL ELECTRIC WATER HEATER
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 J Gas Piping _ Shutters Windows/Doors _ Pond
Electric )( Plumbing _Sprinklers _ Generator , Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2400.00 Utilities: —Sewer _ Septic Building Height: _
OWNER/LESSEE: CONTRACTOR:
Name ROBERT JOHNSON Name: MATTHEW BLACK
Address:4706 EL NUEVA AVE Company:BENJAMIN FRANKLIN PLUMBER
City. FORT PIERCE, FL State:, Address:fi945 NW LTC PARKWAY
Zip Code: 34946 Fax: NIA City: PORT ST. LUCIE State: FL
Phone No. 772-871-9494 Zip Code: 34986 Fax: 772-871-9069
E-Mail:PERMITS@BENFRANKLINPLUMBER.COM Phone N0772-871-9494
Fill in fee simple Title Holder on next page ( if different E-Mail PERMITS@BENF'RANKLINPLUMBER.COM
from the Owner listed above) State 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: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 atto_rney 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 5f bACAX COUNTY OF, III
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2024 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
• .� r 4., -"1
'e : Notary Public - State of Florida
Commis5i Commission HH 448*ea
of ..; m. p res Oct 1, 2024
Bonded through National Notary Assn,
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this -ii_ day of 202(f by
46
�
Name of person making statement.
Personally Known ��`� OR Produced Identification
Type of Identification
Produced
►'� JULIE BANE MCCAULEY
' Notary Public • State of Flori j }
Comm 1551 missiortit HH 49824
My Comm. Expires Oct 1, 2024
SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
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