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HomeMy WebLinkAboutWH app arbor aveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:_ U iI ici 1 2-1 Permit Number: L "TCIE` - 0,, f v ., U L c 1 L L t� __.1 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 FOR:WATER HEATER CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: 106 EAST ARBOR AVE, PSL, FL 39452 Property Tax ID #: 3419-515-0044-000-6 Site Plan Name: RIVER PARK -UNIT 3 Project Name: Lot No.17 Block No. 5 I DETAILED DESCRIPTION OF WORK: I WH CHANGED OUT LOCATED IN THE LAUNDRY ROOM IN GARAGE. INSTALL A NEW 40 GALLON 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 _ Windows/Doors _ Pond Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 800.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Frank C Myatt Jr Name: Benjamin Jimenez Address:1359 River Rd Company: Benjamin Drews Plumbing City: Franklin,NC State: _ Zip Code: 28734 Fax: Phone No. Address:4117 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: Phone No772-877-2961 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 License CFC1429456 VOUCU t.UiibuuLLwn 1b c:)uu or more, a KtLUKUtu ivouce 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: 'JC Not Applicable BONDING COMPANY: 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 attorney before commencing work or recording our Notice of Commencement. Signature of Owner/ -. ee/Contractor as Agent for Owner Signature of C c or/License Holder STATE OF FLORIDA COUNTY OF ,� L(.LGP_ STATE OF FLORIDA COUNTY OF a__ f\A LiCC � Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this IV day of UV-Ne_ 2024 by Sworn to (or affirmed) and subscribed before me of _,,* Physical Pre�star.ce or Online Notarization this , � day of "Jt L 2024 by �XAJCIQ_V\.i Y-1 b ffverre2 �Ja hn (l J YYIf _r eZ Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification _L,-" Type of Identification Produced Produced ANGIE PERDOMO ,., ANGIE PERM MC o a p lot lorida 88 , 2024 Assn. Si n ture of Notary Public Sta o ary u e ( g y Commission # HH 479 e , j'•�� M Comm. Expires Sep 29, Commission No. B( khrough National Nota I r r;=. o Public State of•'- Commission # H g i ature o%NO. 2024 d`e My Comm. Expires S POF AW ission� U�si�ed through National REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED ev.