HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
"'POSED IMPROVEMENT LOCATION:
Address: 5743 Deer Run Dr 2B - Fort Pierce, FL 34951
Legal Description: GOLF LAKE VILLAS UNIT 2B (OR 3383-1792; 3465-341; 3717-1419)
Property Tax IDN: 1407-601-0014-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
-DETAILED'DESCRIPTION OF WORK:
Replace failed 40 gallon electric water heater [2nd floor] in master bathroom closet.
CONSTRUCTION INFORMATION:
A0alt'Onal war to orme un er t is permit —c eca p
u_r Piping
rsLa�IHVAC GasTank [:]Gas te❑Windows/Doors
11 Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 1862.00 Utilities. Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: Robert W. Ludlum
Address:
Company: Benjamin Franklin Plumbing
City: State: _
Address: 1631 SW South Macetlo Blvd
City: Port St. Lucie State: FL
Zip Code: Fax: We
Phone No.
Zip Code: 34984 Fax: 772-871-9069
E-Mail: ^la
Phone No. 772-871-9494
Fill in fee simple Title Holder on next page ( if different
E-Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 antl 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.
Inconsideration 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
improvements to your props
before the first inspection. 11
STATE OF FLORIDAg--e-C't
COUNTY OF
The fyrgoi g ins nt was acknowledge before me
thiso^.a�� 5e�y' Io'f 20 14 by
Notice of Commencement may result in your paying twice for
fmmencement must be recorded and posted on the jobsite
am financing, consult with lender or an attorney before
(Name of person'acknowledging I
(Si nature §Y Notary Public -State of Florida I
Personally Known '/ OR Produced Identification
Type of Identification Produced
FGr�Gr
CommissionnNo. t (Seal) BECKY TALBOT
:�gck Nolny Pualic State of Flat
Revised 07/15/2014
STATE OF FLORIDA //
COUNTY CI A &cdeF c
The forgoing instr ent was acknowledged before me
thivt*1114y of 20 lc by
(Name of person acknowledging I
(SVaturof Notary Public- State of Florida I
Type
✓ OR Produced Identification
rNo. p,,,,,,y Seak'CKY 1ALBOI
- Nary bilc - State of Florida
Commluion 0 FF 961661
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS