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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 512 PONDEROSA OR FORT PIERCE, FL 34982
Legal Description: THE GROVE CONDO
Property Tax ID #: 3410507-0126-000-3 Lot No.
Site Plan Name: WATER HEATER REPLACEMENT Block No.
Project Name: TODD HALLER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
30 GALLON ELECTRIC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
be
wor to e e Orme un ert Is permit—check a appy:
Il�amIona
I(HVAC Tank ❑Gas Piping _Shutters ❑Windows/Doors
IL
L JElectric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 1067 Utilities:OSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOLYN GUENTHER
Name: DIMITRE BOBEV
Address: 512 PONDEROSA OR
Company: FL DELTA MECHANICAL
City: FORT PIERCE State:FL
Address: 2716 BROADWAY CENTER
Zip Code: 34862 Fax:
City: BRANDON State: FL
Phone No. 772-934-6943
Zip Code: 33510 Fax 866-219-0729
E-Mail:
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page ( if different
E-Mail: FLPERMITS@DELTAMECHANICAL.COM
State or County License: CFC1425917
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a me: �OLVN GUENTHER
MORTGAGE COMPANY:
Name:OWITNE BOBEV
—Not Applicable
Add$]51]PONDEROSA OR FORT PIERCE, FL 30B8I
Address: S.PONOEROSAOR
City:
City: FORT PIERCE State: _
Zip: Phone
City: BRANDON
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:]]+B BROFMVAy CENTER
Address:
City:
City:
Zip: Phone:
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Zip: Phone:
WVV IV &..r w.. r nHa.1 �rt wrnuw l : Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
hSt. Lucie Counttflyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
uct.UP PlPPac m� nl I1 n applicable Home Owners Assopation rules, bylaws or and covenants that may restrict or prohibit such
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 financing, consult with lender or an attorney before
rnmm... I—I.,...L....--- :., ....... .i_.:__ _
STATE OFFLORIDA111 lC STATE OF COUNTYOFORIDA �II
COUNTY OF_ '�` _J
The oing instrum t was acknowledged before me The f oing instrum t was acI, I dge1�d,,1before me
The
day of 20,a by this day of , 201 by
'l irk ✓ %iY ( 2✓
Name of per n aking statement Name of person making statement
Personally Known_�OR Produced Identification_ Personally Known ---
Type
Produced Identification_
Type of Identification Type of Identification
COmmISSiOn to_t_My,QMMr3S1OP1 Ii120n2I Commission NaiI ' A`*�': ASHLEY NICOL%IEWNGEIS'
—tt XC-0MMISSI(}120712
o. EXPIRES May 7, 2018 EXPIRES May 7, 2018
REVIEWS ONT ZONINGI CO NTER I REVIEW I S REVIEW UPERVISOR I REVIEW I PLANSV REVIEW ON I S EV EWLE I M REVIEGEATIEATURTANGEW
Rev.