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 V
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 10139 WILD QUAIL DR - PORT ST LUCIE, FL 34986
Legal Description: POD 8 PUD 1 AT THE RESERVE WILLOW PINES WEST AT PGA VILLAGE (P842-33) LOT 20 (OR 2002483)
Property Tax ID f7: 3322-621-0029-000-4
Lot No. 20
Site Plan Name:
Block No,
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE FAILED ELECTRIC WATER HEATER IN
GARAGE WITH 50 GAL ELEC AO SMITH
WATER HEATER.
CONSTRUCTION INFORMATION:
AtliI�thhIonal work to be e)rormed under tms permit — check all
(031 aonly
L ((:O
Gas Tank ❑Gas Piping
LJ Shutters
Windows/Doors
IHVAC
I (Electric ❑✓_Plumbing
05prinklers
11 Generator
Roof
Total Sq. Ft of Construction: 5Ft.
of First Floor:
Cost of Construction: $ 1975.00 Utilities:
Sewer
Ehelatic
Building Height:
OWNER/LESSEE:
Name Edward R. 8 Kristin C. MATTHEWS
Address: 10139 WILD QUAIL DR
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax. nia
Phone No. 631-831-5933
E -Mail: nla
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
jCONTRACTOR:
Name: Robert W, LUDLUM
Company: Benjamin Franklin Plumbing
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: permits@benfranklinplumbermm
State or County License: CFC16426801
Rvalue of construction is $2500 or more, a RECORDED Notice of !ommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
MYCOMWREIl N#PF155v2
Name:
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Address:
Address:
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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 LucieCounry makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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. If you intend to obtain fina►ing, consult witb lender or an attorney before
com a "n ork or r r ' e your Notice of Comme i~Contrad
s
_Signature a4ewner essee/Agent
STATE OF FLORIDA
COUNTYOF .Sf/ titG
The forgoing instrument wasacknowledged before me
this/d/ay_17
of JY 20 jAby
LN.✓�
-:/ J01
(Name. person acknowledging)
(Signatu of Notary Pu tate of Florida )
PersO ally Known _ OR Produced Identification
Type of Identificati
Commission No. y .• `�?, LESD ELq1782
.1 g #EXPIRES Octobe(<aa) M4153 nondaNMarysery
Revised 07/15/2014
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged, /before me
thisday of `_7s. /.u, 20 by
1 O
l�ersonN�tac�wrei.IU IM
(N pknowledging)
(Signature of Nofgry Public -St o lorida)
Personally Kn n R Produced Identification
Type
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE _
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
,F
411 F°*t,
LESLI D ZELAYA
Commission No.
MYCOMWREIl N#PF155v2
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EXPIRES October 1, 2018
(ciao a4msa
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE _
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
,F
•Smith® Residential Electric
Water Heaters
ENHANCED HEATING ELEMENTS CODE COMPLIANCE
• Dual 4500 watt elements for fast recovery • Meets UBC and ICC National Codes and
and reliable operabom* listed with CEC.
• Incoloy stainless steel lower element lasts • Complies with the Federal Energy
longer than a standard copper element. Conservation Standards effective
DYNACLEAN'" DIFFUSER DIP TUBE April 16, 2015, In accordance with the
Energy Policy and Conservation Act
• Helps reduce lime and sediment buildup (EPCA), as amended.
and maximizes hot water output. Made
from long-lasting PE%uoss-Iinked
polymer -
HIGH ENERGY FACTORS
• Eco-friendlynon-CFCfoam insulation,
heat trapsand other features combine
to yield a higher Energy Factor that
maximizes savings on operating costs.
COREGARD'" ANODE ROD
• Our anode rods have a stainless steel
care that extends the life of the anode
rod allowing superior tank protection far
longer than standard anode rods.
BLUE DIAMOND- GLASS COATING
• Provides superior corrosion resistance
compared to industry standard glass
Ilning.
ENHANCED -FLOW BRASS DRAIN VALVE
• Our residential water heaters have a solid
brass, tamper resistant, enhanced flow,
ball type, drain valve.
• Uses a standard female hose fitting that
allows for fast and easy draining during
maintenance.
• Designed for easy operation, this valve
incudes an integral screwdriver slot that
features a 4i turn fopenclosel radius,
which not only permits full straight -
through water Row, but also a quick and
positive shut off
'All OIL20has a w,le.kmml.
APPROVED FOR MANUFACTURED
HOUSING
• All residential electric water heaters are
compliant with HUD Standards for mobile
homesfmanufactured housing.
CERTIFIEDTO UL 174 FOR HOUSEHOLD
ELECTRIC WATER HEATERS
C5A CERTIFIED AND ASME RATED T&P
RELIEF VALVE
DESIGN -LISTED BY UNDERWRITERS
LABORATORIES
• Certified at 300 psi test pressure and 150
psi working pressure.
• Listed according to UL 174 standards
governing storage tank -type electric water
heaters.
6 -YEAR LIMITED TANK AND PARTS
WARRANTY
• For complete Information, consult written
warranty or go to hotwateccom.
c r•b,uary 2016 A.0 Smh Cam.. anal d
vww.antinatecmm I 1snFD43-1953 Toll-free USA I r'_ 0. 5.1%eapuaLlan 1500 Tennessee Waltz PoMway I Ashland ones 3N 37015
PERMIT SUBMITTAL DOCUMENTS
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PERMIT SUBMITTAL DOCUMENTS