HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
l-
�� 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 APP LICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 8266 MULLIGAN CIRCLE PORT SAINT LUCIE, FL 34953
Legal Description: CASTLE PINES CONODMINIUM
Property Tax ID #: 3327-502-0065-000-7
Lo[ No.
Site Plan Name: Block No.
Project Name: D. KORF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
I�rtmna wor to e e orme un ert Ispermlt—c ec a appy:
LJHVAC Gas Tank ❑Gas Piping Windows/Doors
_Shutters l�l
11 Electric Plumbing Sprinklers Generator L JRoof Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction:$ 1154 Utilities: Sewer Oseptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DELORES KOFF
Name: DIMITRE BOBEV
Address: 8266 MULLIGAN CIRCLE
Company: FLORIDA DELTA MECHANICAL
P Y:
City: PORT ST LUCIE State:FL
Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34953 Fax:
Cita, BRANDON State:FL
Phone No.612-518-8130
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
from the Owner listed above)
State or County License: CFC1425917
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
ZIP: Phone:-
Name:
....... _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name:
_Not
City: Address:
Zip: Phone: City:
ZIP: Phone
OWNER/ CONTRACTOR AFFIDVIT Appl¢a'on 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.
In consideration ofthe granting of this requested permit, I do hereby agreethat I will, in all respects, Perform the work ly.
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 antl accessory uses to anoer non-residential use
th
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your prope
berty. A Notice of Commencement must be recorded and posted on the jobsite
fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of
STATE OF FLORID S
COUNTY OF
The f44ff��Ing instru qt w s acknowledged �before me
this �/vday of U�J 20 Iby
Personalty Known
Type of Identificet
Commission No.
S 81 nrsro170( ..... a Holder
STATE OF COUNTY OF FLORID
this
me
Produced Identification Personal) Known y
t Y OR Produced Identification
Type of Identification Produced --
Com Ps j
ASHLEYNICOLE ZIEGFIIFlmt til•, eem �,....,_.__
EXPIRES May ], 201 a
EXPIRES May 7, 2018
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