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 34981
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial
Residential X
PERMITAPPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 6524 ALHELI CT FORT PIERCE, FL 34951
Legal Description: SPANISH LAKES FAIRWAY
Property Tax ID #: 1306-500-0064-000-3
Lot No.
Site Plan Name:
_ Block No.
Project Name: D. BOGINO
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Itlona wor to e e Orme un er Ispermlt—c ec
❑
a appy:
Gas Tank ❑Gas Piping
❑Windows/Doors
I_jHVAC
(Electric 21 Plumbing Sprinklers
_Shutters
11 Generator Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction:$ 1276 Utilities: Sewer El5eptic Building Height:
LESSEE:
CONTRACTOR:
B BOGINO
Name: DIMITRE BOBEV
4 ALHELI CT
Company: FLORIDA DELTA MECHANICAL
7PIERCE.
PIERCE State:FL
Address: 2716 BROADWAY CENTER BLVD
4951 Fax:
City: BRANDON State:FL
85-330-0811
Zip Code: 33510 Fax: 866-219-0729
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:
Name:
Address:
City: State:
Zip Phone;
FEE SIMPLE TITLE HOLDER: Not
Name:
Address:
City:
Zip: Phonm
MORTGAGE COMPANY:_Not Applicable
Name:
Address.
City: State:
ZIP: Phone:
Address: _
City:
Zip;
_Not
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.
Is n Count With any representationthat
OwnetsASoc,ati nl rules authorizelr anscovenants that buildthe
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-residentlal 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
commencing work or recording vour Neth. r,f
STATE OF FLORIDA
COUNTY OF
The Voing Instrume a wa acknowled ed before me
this,�,R� tlay of �n Z03 by
50
Personally Known ei` Cap—
Type
pC...Type of Identitiicatid,?rdB�oer�
Commission No. iS X .. MV
7, 201 B
Revised 07/15/2014
Signature of Contractor/' cense Holder
STATE OF
COUNTYOF ORI DA�
this
REVIEWS I FRONTING I SUPERVISOR I PLANS
COUNTER REVIEW REVIEW REVIEW
acknowledged before me
2oL=by
OR Produced Identification
Volo, ASHLEY NICOLE ZIEGENCI
o71' C� OMMISSION#FF12W12
EXPIRES
a0153 FlOtltlaNOtal $eMtt.0010
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW