HomeMy WebLinkAboutBuilding Permit ApplicationABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit
FPERMIT
Application
nd Development Services
d Code Regulation Division
ia Avenue, Fort Pierce FL 34982
72(462-1553 Fax: (772) 462-1578 Commercial
Residential
PPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 9953 PERFECT PL. PORT SAINT LUCIE, FL 34986
Legal Description: GOLF VILLAS
Property Tax ID #: 3327-703-0111-000-2
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
50 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
beec e
II��itlinna wor to e e orme un ert Is prm it—
a appy:
LJHVAC Tank ❑Gas Piping
❑Windows/Doors
Electric 0Plumbing Sprinklers
_Shutters
Generator Roof
Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction: $1067 Utilities: Sewer Septic Building Height
OWNER/LESSEE:
CONTRACTOR:
NameDENNIA VANDER MOLEN
Name: DIMITRE BOBEV
Address: 9953 PERFECT PL
Company: FL DELTA MECHANICAL
City: PORT SAINT LUCIE State:FL
Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34986 Fax:
City. BRANDON State: FL
Phone No. 772-332-7825
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®DELT AMECHANICAL.COM
from the Owner listed above)
State or County License: CFC1425917
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Signature of Contractor/LiccMse Holder
Name:
_
Address:
The �trgggqIng instrument was acknowledged before me
Address:
thisC.�"IftAQ
day of 200 by
City:State:
_
City:
State:
Zip: Phone
Personally Known ,J , OR Produced Identification
Zip: Phone:
_
Type of Identification
FEE SIMPLE TITLE HOLDER:_
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
(Signature of Not
Name:
Address:
Address:
City:
Commission No.
City:
Zip: Phone:
Zip: Phone:
REVIEWS
FRONT
ZONING
OWNER/ CON 1 RAC OR AFFIUVIT: 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 or antl 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: roam 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 inspectionvdu intend to obtain financing, consult with lender or anytorney before
commencing wo r recd d vnor NrMirc of fnmmnn�n...em
--------......_..__..._....
l� Lam.
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/LiccMse Holder
STATE OF FLO ,p
COUNTY OF'
STATE OF FLOR�4
COUNTYOF Q1ChnfcpkQh
The org ing instr ent was acknowledg before me
day
The �trgggqIng instrument was acknowledged before me
thi of 20n by
thisC.�"IftAQ
day of 200 by
e
T
Name of per�n making statement
Personally Known /\ OR Produced
Name of perko/i making statement
Identification _
Personally Known ,J , OR Produced Identification
Type of Identification
_
Type of Identification
Produced
Produced
(Signature - @r E
(Signature of Not
iy''"
Commission p`a COMMISSION M,yp X32457
:n� SHANNON E. BYRNE
.e; S'. Ai9 1
Commission No.
' MYCOMMISryGG 132457
h::fofn„?.`+` BoraedltiN Wnn POk UMe�we
E%PIRES:kV47.21121
....e..t aon4a4Tlxu Numirfwrcum..,r.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
t
ev.8/2/17