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 4
PERMIT APPLICATION FOR: Plumbing II
I rRUrwcu uwrnvvErv¢iv i LUUMi ivrv:
Address: 8936 ONE PUTT PL - PORT ST LUCIE, FL 34986
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 21 (OR 1411-941: 1432-1145).
Property Tax ID #: 3334-500-0032-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 21
Block No.
Re -pipe cold supply from manifold at master bathroom toilet to manifold behind lavatory sink.
INFORMATION:
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TI -
❑HVAC Gas Tank ❑Gas Piping
❑Electric 10 Plumbing ❑Sprint
Total Sq. Ft of Construction:
Cost of Construction: $ 2422.00
ITS LJ Generator
Sq. Ft. of First Floor: _
Utilities: Li Sewer ❑_Septic
❑ Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JohnT is Carol A. BIELAN
Name: Robert W. LUDLULM
Address: 8936 One Putt PI
Company: Benjamin Franklin Plumbing
City: Port St Lucie State: FL
Zip Code: 34986 Fax: rua
Phone No. 772-595-9504
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 an next page ( if different
from the Owner listed above)
E -Mail: permits@benfranklinplumber.com
State or County License: CFC1426801
IT value 07 construCnon 15 W5UU or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
REVIEWS
Address:
ZONING
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
REVIEW
Address:
DATE
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..V you intend to obtain financing, consult with lender gran attorney before
STATE OF FLORIDA (� /
COUNTY OF y n.uatx.
Thefofgmng mstrtt��rr��ent was acknowledged before me
this ay of 20 [-by
/�.rbat
(Name of person acknowledging)
(Signature of Nbfary Public -State of Florida )
Personally Known �/ OR Produced Identification _
Type of Identification Produced
Fr—?[/6Gf
Commission No. e' ` CKY TALBOT
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Revised 07/15/2014 � �4"gonaea mrou P r 5. 2020
W Wlional Ili Ann.
STATE OF FLORIDA /
COUNTY OF A.w-c.aa-ems
The fo�r�goIing instr ent was acknowledged before me
thiso_ y of 20 14 by
si�y 14-ADV
(Name of PerA.cknowledging )
(Signbture of rUtary Public -State of Florida )
Personally Known ✓ OR Produced Identification
Type ofldentification Produced_ _
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Commission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MA
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS