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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/10/2021 Permit Number: © M. E c P, -- 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: 6112 SPRING LAKE TERRACE, FORT PIERCE, FL. 34951 Property Tax ID #: 1312-503-0150-000-1 Lot No.377 Site Plan Name: PORTOFINO SHORES -PHASE THREE- (PB 43-40) LOT 377 (OR 2270-908) Block No. Project Name: WATER HEATER REPLACEMENT - LIKE KIND DETAILED DESCRIPTION OF WORK: WATER HEATER REPLACEMENT - LIKE KIND 50 GAL ELECTRIC RHEEM WATER HEATER New Electrical Meter X Second Electrical MeterX CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical — Gas Tank Gas Piping Shutters Windows/Doors Pond Electric X Plumbing _ Sprinklers _ Generator ` Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1249.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: Name MERCEDES CARDONA A,Hrps�.6112 SPRING LAKE TER City: PORT ST. LUCIE, FL. State: Zi p Code: 34951 Fax:772-871-9069 Phnna Nn_ 772-871-9494 E-Mail: PERMITS@BENFRANKLINPLUMBER.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: MATT BLACK rnmr,anv BENJAMIN FRANKLIN PLUMBING Address:6945 NW LTC PARKWAY City: PORT ST. LUCIE State: FL Zip Code: 34986 Fax: 772-871-9069 Ph,,. Nn772-871-9494 E-Mail PERMITS@BENFRANKLINPLUMBER.COM State or County LicenseCFC#1430437 L� 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: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: rit,r• Zip: Phone:_ State: X Not Applicable MORTGAGE COMPANY: Name: Address: rity: X Not Applicable State: Zip: Phone: BONDING COMPANY: x Not Applicable Name:_ Address: City,. Zip: — Phone: n is hereby made to obtain a permit to do the work and installation as indicated. OWNERS CONTRACTOR AFFIDVIT: Applicatio 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 aobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorne before commencingwork or recordin our Notice of Co encement. Signature of Owner/ Lessee/Contractor as Wnt for Owner STATE OF FLORIDA3f �ccU.c COUNTY OF n to (or affirmed) and subscribed before me of SwV Physical Presence or Online Notarization this day of 2020 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced d n L+er5 REVIEWS RECEIVED DATE COMPLETED ev. Notary Public - State of Floridpp, CornCommitsi # HH 49824 l- My Lomm. Expires Oct t, 2024 Banded through National Notary Assn Signature of Contractor/License Holder STATE OF FLORIDA �t t COUNTY OF d Swop to (or affirmed) and subscribed before me of a/ Physical Presence or Online Notarization this day of 2020 by Eck Name f person making statement. personally Known Z OR Produced Identification Type of Identification Produced JULIE JANE MCCAULEY Notary Public - State of Florida �n RH 49824 My Comm. Expires Oct 1, 2424 ZONING I � PLANS S EMEEVE SUPERVISOR VN RTREV1W REVIEW VIEW REVIEW COUNTER-1 REVIEW REVIEW