HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:I Q OE-C-'10
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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
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PERMIT APPLICATION FOR: Plumbing
ROPOSED IMPRt7� t ! I:OC1T0� 4 h4 � �
Address:12935 W MIDWAY RD-FORT PIERCE, FL 34981
Legal Deslcription: 5 36 40 E 112 OF NE 114 OF NW 114 OF SE 114-LESS MIDWAY RD AS IN OR 220-1947 AND 3369-703-(4,27 AC)(OR 2933-246;36942676).
Property ax ID#: 3405-421-0001-000-2 Lot No.
Site Plan Name: Block No,
Project ame:
Setbacks Front Back: Right Side: Left Side:
RL. A?.. EDz ESCT .W,L' ORIC9
INSTALL ECO-SMART ELEC [POINT-4F-USE]TANKLESS WATER HEATER IN KITCHEN AREA.
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QNSTI� �q g N�INEORMATION
Additional work to b e nertormed un ert is permit-c ec all that apply:
[_]HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 EII ctric Z Plumbing ❑Sprinklers []Generator Roof
Total SqIi Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:S 615,00 Utilities:Sewer Septic Buiiding Height:
.,x.
p 'kA
.$s, ."o" .r.,.+c.a .
Name DIRAWDY BROTHERS INVESTMENTS,LLP Name: Robert W.LUDLUM
Address):10690 W Midway Rd Company: Benjamin Franklin Plumbing
City: Fort Pierce State:FL Address: 1631 SW South Macedo Blvd
Zip Code: 34945 Fax:n/a City: Port St Lucie State:FL
Phone.N0.772-595-9999 Zip Code: 34,984 Fax: 772-871-9069
E-Mail:nia Phone No. 772-871-9494
Fill in fee simple Title Holder on next page(if different E-Mail: Permits@benfranklinplumber.com
from t ie Owner listed above) State or County License: CFC1426801
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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UPPLEMIr S TAL.C,ON ]' I CTIC�N l N I.A U INFO tMA "taON
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: l Name:
Address:I Address:
City: I State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: I Name:
Address:I Address:
City: City:
Zip: I Phone: Zip: Phone:
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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 inlconflict 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,
In considelation of the granting of this requested permit,1 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.
Thefollowling 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 recorde d posted on the jobsite
before<the#first inspection. If you intend to obtain financing, consult with lencWor an attorney before
comma in work o , ,r r in our Notice of Commencem �n
.� t l� s
5Tgnatu;a of Owner Lessee/Agent Ign tura o ontra r/License Holder
STATE OF FLORIDA (�j STATE OF FLORIDA
COUNTY OFA COUNTY OF .CtIU
The for 'in in u ent was acknowledgedbefore me The forgoing instrument was acknowledged before me
,� g
this'l day of 20�by this [day of 20 by
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(Name oyperson ackn wlgdging) (Name of per o acknowledging)
(Sign tufe of otary Public-State of Florida) (Sign fture of Wotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of IilJentification Produced Type of Identification Produced
lbI ""'"'�� ( TALBOT Commission No
Commission o. ,�' ��
s Notary Pubtlo-St:te of flailda t;'ar p"�y,,, BECKY TALBOT
_
Commission�Y Ef-861861 `0' .., 'Notary Public•.6tats of Florida
My Comm.Expires May 3,2020 . •, omm sp » IFF 951661
Revis�d U?!15l2U 4 � 'y" ' 90800 throulifrNational Notary Assn. ';�, r My Comm;Exptra May 5,2020
'' �' pit,�``` BoriMthvigib NO"Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-COMPLETE
INITIALS
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