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 J
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
POSED IMPROVEMENT LOCATION:
Address: 7106 Lorraine Ct - Port St. Lucie, FL 34952 - Port St, Lucie, FL 34952
Legal Description: RIVERS EDGE PENINSULA LOT 4 (0.30 AC) (OR 3046-1639)
Property Tax ID N: 3416-802-0005-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.4
Block No.
I DETAILED DESCRIPTION OF WORK: III
Replace 40 gallon [short] electric water heater located in the garage [on shelf].
I CONSTRUCTION INFORMATION:
IeIHVAC
CONTRACTOR:
Gas Tank
Gas Piping Shutters Shutters
Windows/Doors
CElectric
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: Na
Phone No. 772.430-3814
Plumbing
Sprinklers
L_I Generator
11
E Roof
Total Sq. Ft of Construction:
State or County License: CFC1426801
S
Ft. of First Floor:
Cast of Construction:$
2009.00
Utilities:
Sewer 11 Septic
Building Height
O W N ER/LE§§EE:
CONTRACTOR:
NameJulia&Jerry Gladfelt
Name: Robert W. Ludlum
Address:7106 Lorraine Ct
Company: Benjamin Franklin Plumbing
City: Port St. Lucie State: FL
Zip Code: 34952 Fax: Na
Phone No. 772.430-3814
Address: 1631 SW South Macedo Blvd
City Port St. Lucie State: FL
Zip Code: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: nla
Fill In fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail: permit@benfranklinplumbing
State or County License: CFC1426801
IT value or construrnon IS pebuu or more, a ntCUKULD 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:
J 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.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lendepybr an attorney before
STATE OF FLORIDA & / '
COUNTY OF A-tCC.a.v
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Personally Known OR Produced Identification
Type of Identification Produced
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Commission No. .•:•:&!geall BE
Revised 07/15/2014
STATE OF FLORIDA �Y /
COUNTY OF
The forgoing ins ru nt was acknowledged before me
thisa�rtigay of 20 J(b by
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(Na(m/e of' person ackn�o�wl�edging�ing/)
(Sigbature of Alatary Public- State of Florida )
Personally Known '/ OR Produced Identification
Type of Identification Produced
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS