HomeMy WebLinkAboutWATER HEATER 30 GALLON PERMIT 5400 CITRUSPlanning and Development Services
Building and Code Regulation D;vision
2300 VirginioAvenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
rtK MI I APPLICATION FOR:
Address: 5400 CITRUS AVE
Property Tax ID IF: 3404-501-0553-000.8
Site Plan Name:
Project Name: LOTT
DETAILED DESCRIPTION OF
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Nur
�L: LucL
�J I
Building Permit Application
Commercial Residential X
CSDG Funding
Lot No. 8
Block No.
New Electrical Meter Second Electrical Meter
(Affidavit required)
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:$ 850.00 Utilities: —Sewer —Septic Building Height:_
Address: 5400 CITRUS AV
City: FT PIERCE
State:FL
Zip Code: 34982 Fax:
Phone No. 772-201-4432 E
Fill in fee simple Title Holder on next Page (if different
from the Owner listed above)
CONTRACTOR:
Name: ROEIERT LUDLUM
Company: Aqua Dimensions Plumbing Services
Address: 1651 SW South Macedo Blvd
City:PORT STLUCIE State:FL
Zip Code: 34884 Fax: 772-343-7418
Phone No 772-344-8433
E-Mailad s aquatlimensions com
State or County License CFC057526
n value or construction Is 2500 or more, a RECORDED Notice of Commencement is rent
If value of NAVC is $7,500 or mare, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xNot Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:_
City: State:
Zip: Phone
_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 isgrantingga permit will authorize the permit holder to build the subject structure
which conflicts with an applicable Homeowners Associ ion rules, bylaws or and covenants that may restritt or prohibit such
structure. Please consu t with your Homeowners 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 concumency 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 Cou and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I or an attorne befor/e commencin work or recordist our Notice of Commencement.
signature of Ownes esee/Comraco asas Aged
STATE OF FLORIDAST LUCIE
COUNTY OF
Sworn to for affirmed and subscribed before me of X Physical Presence or_ Online Notarization
this 2�day of OCTOBER 2o21 by ROBERTIUDLUM
Name of person making statement pw^w4 nu'.aq r.,me s:nre.,• rm,.n,
Personal) Known X OR Produced Identification nnC..:—
Y My Cwnm,iswn HH oaaa„
TypF of ltlentlRc{([ion Produced z:ooes
E it IY Y1CL.Nk k44:z
(Signature of NbtarvP I State IFFlorida)
Commission No. fiH irl 4dII (seat)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev