HomeMy WebLinkAboutpermit 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 x
PERMIT APPLICATION FOR: TO Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5681 TRAVELERS WAY
Legal Description: PALM GROVE
Property Tax ID q: 3410-503-0032-000-5 Lot No.21
Site Plan Name: Block No.
Project Name: AGNES TRAMA
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
INFORMATION:
AdaCONSTRUCTION
wor to a erorme un ert is permit —c heckall appy:
�l�rt'jIiona
In
Gas Tank ❑Gas Piping _II Shutters ❑ Windows/Doors
IIO�IHVAC
OElectric 21 Plumbing Sprinklers L,I Generator L3 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
I
Cost of Construction:$ 1238 Utilities: Sewer L lSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAGNES TRAMA
Name: DIMITRE BOBEV
Address: 5681 TRAVELERS WAY
Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL
Address: 2716 BROADWAY CENTER -BLVD
Zip Code: 34982 Fax:
Cit,; BRANDON State:FL
Phone No. 7728014366
Zip Code: 33510 Fax: 8662190729
E -Mail:
Phone No. 8662190880
Fill in fee simple Title Holder on next page ( if different
E -Mail: FLPERMITS®DELTAMECHANICAL.COM
State or County License: CFC142917
from the Owner listed above)
If value of construction Is 52500 or mare, a RECORDED Notiu of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 11
. , _ �, „pp„cduie MORTGAGE COMPANY: _ Not Applicable
Namee::Name:
Address: Address:
City: State: _ City: State:
Zip: Phone: Zip: Phone:
TITLE HOLDER:
Name:
Address:
City:
Zip:
BONDING
Name:
Zip:
I certify that no work or Installation has commenced prior to the issuance of a permit.
_Not Applicable
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,
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 r ded and posted on the jobsite
before th -first inspection. If you intend to obtain financing, consult h lender or an attorney before
8AI I: OrxORN7p���IG 1� �� 1� STATE OV FLORI
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e fgomg ins (7e t W acknowiedge"eforre me The fo ding instr ment was acknowledged I-,�Tfore me
thi '�I day L 20 v lby i day o ZO � f by
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'gnature of of Public-Sta (Signature of Pub¢ -S rida)
Personally Known OR Produced Identification _ ersonally Kno n_ OR Produced Identification
Type of Identification Produced Type of Identific
i�6N=FF7N211
'R(r; B=1�5ACommission No. i ^�;Commission No. 2 MY a E
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Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
GATE
COMPLETE
INITIALS