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
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:
Addron. 8208 LAKELAND BLVD
Legal Description: LAKEWOOD PARK UNIT8
Property Tax ID q: 1301-608-0005-000-8
Site Plan Name:
Project Name: J- POHL
Setbacks Front Back:_
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
�
L_j1HVAC LJ Gas Tank
11 Electric 21Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1130
Piping
ars LJ Generator
S Ft. of First Floor:
Utilities:cn Sewer Septic
❑j Windows/Doors
L J Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JEANETTE POHL
Name: DIMITREBOBEV
Address: 8208 LAKELAND BLVD
Company: FLORIDA DELTA MECHANICAL
Cin,: FORT PIERCE State:FL
Zip Code: 34951 Fax:
Phone No. 772-8824175
Address: 2716 BROADWAY CENTER BLVD
City: BRANDON State:FL
Zip Code: 33510 Fax 866-219-0729
Phone No. 866-219-0880
E -Mail:
FIII in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: FLPERMITS@DELTAMECHANICAL.COM
State or County License: CFC1425917
If value of construction is $2500 or more, a RECOR0E0 Notice of Commencement Is regairea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
ZIP: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
Name:
Address:
City:
Zip; Phone:
0 WNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and Installation as indicated.
I ce'If 'hat 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, onfilct with an applicable Home Owners Association rules, bylaws or anscovenants that may restrict or prohibit such
structure. Please consult w�th your Home Owners Association and review your deed /or any restrictions which may apply.
In consideration of the granting of this requested permit, 1 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,
statuary 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
commenclno work
Signature of Owner/Azft/Lessee
Sigrd"re of COntfattOrIE se Holtler
STATE OF FLORIDA //
COUNTYOF_ S
STATE OF FLORIDA / ('
COUNTYOF /{/J
The fKggggoing instru�e�nt s acknowl ed before me
this F;/�day of !M t/ Zp by
The for Ding instrum t wayaMnowledged before me
thisay of �✓ ZOIMby
Notary
Florida
� BnaturcefpvotnryFubllcy5tetSorida)
'j5lgnature
PyBlic-Staj><ot
Personally Known OR Produced Identification
Type of IdentMeI Ion• �e
Personally K
Type of ltlant
OR Produced IdendRcation
rrp
I _ rt.
carid roa
COmmisalon No - `
My aFr120%1J
4N
Commission
s e.
on �I
I T
My COMMISSIO m(g7.
s nd'
EXPIRES May �. 20t e
, `•.!a.q,.
EXPIRES May �. 20[8
20113
_
I lam'aAe.oieo
Revised 07/15/2014
FRONT
�DAT�E.
VING SRR
PLANS
VREVIEW ON BRETU M
FVIEWVE1.