HomeMy WebLinkAbout6736 Alem wh appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/13/2021 Permit Number:
- J, , r .,
r L c t �= 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
PERMIT APPLICATION FOR: Water Heater Change out
PROPOSED IMPROVEMENT LOCATION:
Address: 6736 Alemendra, Fort Pierce, FL 34951
Property Tax ID #: 1306-500-0347-000-1
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name:
DETAILED DESCRIPTION OF WORK:
WH change out located in garage to 50 Gal. electric AO Smith water heater.
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
Electric V Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ SOD
Sq. Ft. of First Floor:
Lot No.2
Block No. 75
Windows/Doors Pond
Roof Pitch
Utilities: _Sewer _Septic Building Height.
OWNER/LESSEE:
CONTRACTOR:
Name Dana Bumpus
Name: Benjamin Jimenez
Address: 6736 Alemendra
Company: Benjamin Drew's Plumbing
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
Address:4117 Bandy Blvd.
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No 772-877-2962
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail ben@benjamindrewsplumbing.com
State or County LicenseCFC1429456
- I-- vI -- a LIUII ID 47VU UI IFIUfe, d KC LUKUCU ivotice or Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ a Contractor as Agent for Owner
Signature of Cont c or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sck_�n-Nr L kC
COUNTY OF qj+ , L-LkQ/C <�,
Sworryto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _ day of 2020 by
Swor o (or affirmed) and subscribed before me of
Phy,�ical Presence or Online Notarization
this 3L-day of f-.Q.S 2024 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known OR Produced Identification
Type of Identification
Produced
Produced
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29, 2024
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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f Florida
7988
29, 2024
:ary Assn.
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