HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO rLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Developmhit Services
Building and Code Regu tion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1558 Fax:(772)462-1578 Commercial Residential d
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPR ; EMENT LOCATION:
Address: 5800 SPRING LAKE TER - FORT PIERCE, FL 34951
Legal Description: PO OFINO SHORES - PHASE TWO - (PB 43-33) LOT 401 (OR 3814-962).
Property Tax lD #: 131 bUZ-U151-000-5 Lot No. 401
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: -
REPLACE FAILED ELECTRIC WATER HEATER WITH 50 GALLON TALL AO SMITH ELECTRIC
WATER HEATER I� GARAGE.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Michael E. & Sheryl J.
wor to be eFormed
under
tis permit — c ec
a
appy'
City: Fon Pierce
Zip Code: 34951
Phone No. 806-268-221
State: FL
Fax: n18
��niona
LJHVAC
City: Pon St Lucie State: FL
Zip Cade: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
Gas Tank
E]Gas Piping
on next page ( if different
bove)
_ Shutters
Windows/Doors
11 Electric
Plumbing
❑Sprinklers
El Generator
II��II
L�I Roof
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Constructiorej 1299.00
Utilities..
Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael E. & Sheryl J.
EDDY
Name: Robert W. LUDLUM
Address: 5800 Spring Lace
Ter
Company: Benjamin Franklin Plumbing
P Y:
City: Fon Pierce
Zip Code: 34951
Phone No. 806-268-221
State: FL
Fax: n18
Address: 1631 SW South Macedo Blvd
City: Pon St Lucie State: FL
Zip Cade: 34984 Fax: 772-871-9069
Phone No. 772-871-9494
E -Mail: n/a
Fill in fee simple Title H alder
from the Owner listed
on next page ( if different
bove)
E -Mail: permitsQa benfranklinplumber.com
State or County License: CFC1426801
•••.•._.... r ... o.. nnncwnvco nonce or wmmencement is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
istallation has commenced prior to the issuance of a permit.
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
ming of this requested permit, I do hereby agree that I will, in all respects, perform the work
Address:
roved plans, the Florida Building Codes and St. Lucie County Amendments.
City:
Zip: Phone:
State: _
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HO
Name:
Address:
City:
Zip: Phone:
DER:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
ion. f ou intend to obtain financing, consult with lender or an attorney before
Address:
( R your Notice of Commencement.
City:
_Signature of Owner/ Lsee/Agent
ignature of Co ractor/License Holder
Zip: Phone:
STATE OF FLORIDA
COUNTY OF
I certify that no work or ii
istallation has commenced prior to the issuance of a permit.
St. Lucie County makesn
which is in conflict with a
representation that is granting a permit will authorize the ermit holder to build the subject structure
applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Please consultnth
your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the gr
ming of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the ap
roved 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, swin
iming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNE
: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to you
property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspei
ion. f ou intend to obtain financing, consult with lender or an attorney before
commegKg w rk ore
( R your Notice of Commencement.
s
_Signature of Owner/ Lsee/Agent
ignature of Co ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Thefor sing instrument
rday
as acknowledged before me The forgoing instrument wa}}}acknowledged before me
this of
201(yby thisaday of 20 by
vn Ln+
d in i g
g g) � (Name of person acknowledging )
(Nan5e of person acknowl
- ate of Florida) (Signature of Nota ublic- State o ida )
( Ignature9 o ary Publ
Persona It y Known
OR Produced Identification _ Personally Kno duced Identification
Type of Identificati
U1,H Type of Identification
LESL,,ZELAVA fp e LESLI DZELAYA
Commission No.
YCOM N#FFte5172 Commission No. !'' My COMikil N#FF1e5172
•'fan,,.
EXPIRES October 1, 2078 EXPIRES October 1, 2018
(007)
A1.3 FixfdaNMe Seivic__
Revised 07/15/2014
REVIEWS
FRON
JR
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNT
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS