HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
13
�'Building Permit Application
F
Development Services
Code Regulat/on Division
Avenue, Fort Pierce FL 34982
2)462-SS53 Fax:(772)462-1578 Commercial Residential d
PERMITAPPLICATIONFOR: plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6502 Fort Walton Ave - Fon Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 10- BLK 121 LOT 14 (MAP 13/01S) (OR 1152-1041: 1150-2752: 2714-288),
Property Tax ID p: 1301-612-0067-01
Lot No. 14
Site Plan Name: Block No. 121
Project Name:
Setbacks Front Back: Right Side' Left Side:
DETAILED DESCRIPTION OF WORK:
Replace failed electric water heater in garage.
CONSTRUCTION INFORMATION:
FF��AdditIiona wor to e e Orme un ert is permit—c ec a appy:
L„IHVAC .Gas Tank []Gas Piping _Shutters oj�Windows/Doors
1f Electric Plumbing Sprinklers 11 Generator U Roof
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction:$ 1975.00 Utilities: Sewer 1J Septic Building Height:
R/LESSEE:
CONTRACTOR:
therine JOY-SHACKLEFORD
Name: Robert W. LUDLUM6502
Fort Walton Ave
Company: Benjamin Franklin Plumbing
rName
Pierce State:
Address: 1631 SW South Macetlo Blvd:
34951 Fax: We
City: Port St LucieState: FLo.
772-519-0867
Zip Code: 34984 Fax: 772-871-9069/a
Phone No. 772-871-9494
simple Title Holder on next page ( if different
E-Mail: Permits0benfranklinplumber.com
from the Owner listed above)
State or County License: CFC1426801
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: �I
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZIP Phone:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip Phone:
BONDING COMPANY: Not
Name:
Address:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
no
tisncncaapclon ersoatruill abr SvansyttorhbtscwhichIofllwlth any pliable Home Owners Asciion rules, bylaws Oancoentthat build
subject
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 and posted on the jobsite
before the first inspection. Ifyyou intend to obtain financing, consult with lender an attorney before
commepsfhg work or recoa'dAfie vnur Nnrira of r..�,..,e....,......_.
STATE OF FLORIDA
COUNTY OF
The for Ding instrument was <knowledged before me
this [,day o(%J 2%by
�rJKy � bbt
(Name of person acknowledging )
(Ii -nature o0 otary Public- State of Florida I
rersonallY Known ✓ OR Produced Identification
Type of Identification Prod
Commissionn No..
FFi4/ �1 BECKY TALBOT
='.`` b �fl�Y Public . stale o1 Fbr
y! Commission r FF 961661
A M
Revised 07/15/2014 "td mrwloh Naidma NowY A:
STATE OF FLORIDA /
COUNTY OF
The forgoing instrument was acknowledged before me
thiszzdayof //�[9Lr 20/�by
y iz6o t
(Name of person acknowledging )
iature N Notary Public -State of Florida I
mally Known - OR Produced Identification
of Identification Produced
F'F roG / 44
❑155100 p, y��r�W
;,.�7y.,`- NdyryPuuk7ALB0
s 7
my comm. Elres Me wr
adndedmroupY ApNose u„S'9000
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
MANGROVE
REVIEW