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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Num 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 V PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 7650 BARN OWL DR - PORT ST. LUCIE, FL 34952 Legal Description: FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 57-40) BILK 69 LOT 14 (OR 3014-2673). Property Tax ID #: 3424-800-0066-000-7 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 14 Block No. 69 I DETAILED DESCRIPTION OF WORK: III Replace failed 30 gallon electric water heater in located in master bathroom closet. CONSTRUCTION INFORMATION: CONTRACTOR: Name Linda L. LaTorre Name: RcbertW. Ludlum itiona war to a rorme un ert ispermit—c ec a appy: 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: nia E]Gas Tank ❑Gas Piping rn _Shutters II❑�_IIHVAC 11 Electric 21 Plumbing ❑Sprinklers 11 Generator I❑�IWindows/Doors I (Roof Total Sq. Ft of Construction: 5 of First Floor: Cost of Construction: $ 1698.00 Utilities-1]�Sewer 11 Septic Building Height: OVJNER(LES$EE CONTRACTOR: Name Linda L. LaTorre Name: RcbertW. Ludlum Address: 7650 Barn Owl or Company: Benjamin Franklin Plumbing City: Port St. Lucie State:FL Zip Code: 34952 Fax: nia Phone No, 772-777-2282 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: nia Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: permits@benfranklinplumber.com State or County License: CFC1426801 It value at construction 15 jZlad or more, a atconuto nonce or commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III ul, lIbNtH/l,NblNtt H: Not Appucame MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: _ City: State: _ Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 Counttyv 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. 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 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 andposted on the jobsite before the first inspectio,pp. If you intend to obtain financing, coyxOTf h lenp�r o n attorney before commencine work or cfcbrdina vour Notice of Commenceml Lrfi os, ///% _ Signature ofOwner/ Les /Agent FRONT signature or Lomrpyror/License noiaer STATE OF FLORIDA PLANS STATE OF FLORIDP , p COUNTYOFtc _ MANGROVE COUNTYOF �R Qltre The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this'aNdayof MY c._I, .204—by this�dday of IM OA CJ ,20 illy by I�befE} L_LtaVuf„A_ Q06eri I j.AJ(,JA (Name of person acknowledging ) (Name of person acknowledging o ) (Signature of Notary PudIlcv State T Florida) (Signature of Notary Rull St leof Florida ) Personally Known X OR Produced Identification_ Personally Known 71c- OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Et Z.5Y.257 (Seal) AFFERTY Mmission No. a RHOND fS,60FFERTY ,3rCN # EE8542 L �:Silalli I t"-� MY COMMISSION L EEE5.29P Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS