HomeMy WebLinkAboutBuilding Permit ApplictionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/18/2017 Permit Number:
ISEEMOMMMEMENIWZ
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6317 Lenape St
Legal Description: Riverdale Yatch Club
Property Tax ID tt: 3409-703-0089-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
38 Gal ELEC Water Heater Replacement
CONSTRUCTION INFORMATION:
II�amIona wor o e e orme un ert is perms —c ec a
_appy:
OII�HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
I.,�IElectric 0 Plumbing Sprinklers Generator L1 Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 1112 Utilities:"tSewer Septic Building Height:
OWNER/LESSEE:
CTOR:
Name�ebra Gaaison
itm BobevAddress:
6317 Lenape St
Fonda Delta MechanicalCity:
Fod Pierce $tate:FL716
Broadway Center BlvdZip
=FL
Code: 34982 Fax:
on State: FLPhone
No.772-801-455733510
Fax: 866 -219 -0729E
-Mail:
866-219-0880
Fill in fee simple Title Holder on next page (if different
E -Mail: FLPERMITSgdeltamechanical.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:
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DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
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City:
Zip: Phone
State:_
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:r+aa..rc.ra.a
th' day of
Address:
REVIEW
City:
20-0 by
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR 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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in congict 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.
Inconsideration 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
STATE OF FL
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