HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �-h Y1I4 Permit Number:
S'
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 429 SE NARANJA AVE - PORT ST. LUCIE, FL 34983
Legal Description: RIVER PARK -UNIT 4 BLK 35 LOT 19 (MAP 34/28N) (OR 3788-1761).
Property Tax ID 11: 3419-530-0116-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DEkkIPTION OF WORK:
Lot No. 19
Block No. 35
REPLACE FAILED ELECTRIC WATER HEATER IN GARAGE WITH AO SMITH 40 GALLON
ELECTRIC WATER HEATER.
CONSTRUCTION INFORMATION:Asnove
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Aaartional woN to orI' �peIrtormed
under
ms permit cneck all �I��(j�pply:
L�I]HVAC —Gas
Tank
Das Piping
LJ ShuttersWindows/Doors
1 ( Electric OPlumbing
Sprinklers
[]Generator Roof
Total Sq. Ft of Construction:
Sc Ft of of First Floor:
Cost of Construction: $ 399.00
Utilities: []Sewer
DSeptic Building Height:
0WNER/LESSEE:
..:<;: :.
CONTRACTOR:— • . ,
.__.
. .:...
Name Pamela B. LUDLUM
Name: RobertW LUDLUM
Address: 429 SE Naranja Ave
Company: Benjamin Franklin Plumbing
City: Port St. Lucie
State: FL
Address: 1631 SW South Macedo Blvd
Zip Code: 34983 Fax: ma
City: Port St. Lucie State: FL
Phone No. 772-871-9484
Zip Code: 34984 Fax: 772-871-9069
E-Mail:Permits@benfranklinplumber.com
Phone No. 772-871-9494
Fill in fee simple Title Holder on next page ( if different
E -r l: Permits@benfranklinplumber.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
DESIGNER/ENGINEER:
_ Not Applicable
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:
Citv:
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 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 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,
accessary 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' tend to obtain financing, consul4ractor/License
ender attorney before
comme g w k or re I ur Notice of Commc cement. �S
Signature of OwrierI Le ee/Agent Signa ufe o' CHolder
STATE OF FLORIDA
COUNTYOF sk "
The forgoing instrument was acknowledged before me
thisajNTlay of +f'(\fl�3 . 20 Li.—by
oh�cA W . (_u4 �, kA
(Name o person acknowle g ng
r\r\fYY1f �I{1�^'
IS gnature of Notary ic- St of Florida (
Personally Known L"'� OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
� this rTV� 6y
Qn6r-+ �1 L�.It�u�
(Name of person acknow a ging
(S r otary Pub i%t tate o lorida I
Personally Known —> —OR Produced Identification
Type of Identification Produced
Commission No. 1=2 RF{FfN4)A LAFFERTY ommission No. EE 5> } ;a.:^.i',Siti; R48NMA LAFFERTY
MY COMMISSION a EE854291 " MV COMMISSION rk EE854297
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW J
DATE
COMPLETE J
INITIALS