HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/18/2017
Permit Number:
aim Q
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: plumbing
El
PROPOSED IMPROVEMENT LOCATION:
Address: 9460 Meadowood Drive Unit 203
Legal Description: Quail Run Village
Property Tax ID #: 1327-703-0045-000-2
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
40 Gal ELEC Water Heater Replacement
CONSTRUCTION INFORMATION:
Itiona wor o e e orme under Is permit —c ec
a appy:
OHVAC Gas Tank E]Gas Piping
_Shutters ❑Windows/Doors
11 Electric 21 Plumbing Sprinklers
Generator ®Roof Roof pitch
Total Sq. Ft of Construction:
5 Ft. of First Floor:
Cost of Construction:$ 1144 Utilities:t Sewer septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMichaei Mcsoiey
Name: Dimitre Boeev
Address: 9460 Meadowood Drive Unit 203
Company: Florida Delta Mechanical
City: Fort Pierce State:FL
Address: 2716 Broadway Center Blvd
Zip Code: 34951 Fax
Cit,. Brandon State:FL
Phone No. 772-332-0222
Zip Code: 33510 Fax: 866-219-0729
E-Mail:
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page I if different
E-Mail: FLPERMITS@deimmechanical.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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER! CONTRALTUR AFFIDVIT: 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.
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 oran 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 financing, consult with lender or an attorney before
of
Owner
STATE OF FLORtgA\N s t^ r te`
COUNTY OF TT1111 E i, Tl
Th t!jgIng Instr ent was acknowledged before me
this_ yofAQ.__, 20—ay
Name of pe o making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of NI
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
EXPIRES: Au9ue17,2021
STATE OF
COUNTYOF OI LSM�C7Y- yAf1 V1
The r ping instru nt was acknowledged before me
thi ay of 20n by
rh I ✓e l b ,
Name of f rson making statement
Personally Knowrt/_,_ OR Produced Identification _
Type of Identification
Commission
FRONTNCOUNTER REVIEW SREVIEW UPEVISOR I REVIEW PLANS I V EVI WON I S EV EWLE
132457
REVIEW