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 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential x
PERMIT APP LCATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 2316 JO HAYWOOD DR FORT PIERCE, FL 34946
Legal Description: CITRU HEIGHTS
Property Tax ID #: 1432-700-0017-000-1
Lot No.
Site Plan Name:
Block No.
Project Name: T. BANKS
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL GAS WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
w
wor to ��a ieIrorme under tIs permit —c ec
--
a appy
II�amIona
ISI Gas Tank ❑Gas Piping
_Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers
11 Generator Ll Roof Roof pitch
Total Sq. Ft of Construction:
StI�Ft.� of First Floor:
Cost of Construction:$ 1202 Utilities:ll
Sewer O5eptic Building Height:
SSEE:
CONTRACTOR:
BANKS
Name: DIMITREBOBEV
JO HAYWOOD OR
Company: FLORIDA DELTA MECHANICAL
r0WN7ER/LESSEE::__1:�_
RCE StatJL.Address:
2716 BROADWAY CENTER BLVD
oe:46 Fax:
City: BRANDON State:FL
No. 772-240-1733
Zip Code: 33510 Fax: 866-219-0729
il:
Phone No. 866-219-0880
Fill in fee simple Title Holder on next page I if different
E-Mail: FLPERMITS r@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 Applicable
Address:
City:
Invn l same t-UMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Name:
_Not Applicable
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 priorto 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 and covenants that may restrictor prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may ay.
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-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for
cimprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
omore mencen¢rwork or rrecordlrylV vn�, con to obtain financing, consult With lender or an attorney before
mena[g nery skgenlf esseeL 1 17 Co�
e j(�er7rcense Holder
STATE OF FLORIDA /.// STATE OF FLORIDA
COUNTY OF_ COUNTY OF_ i
Thetjo�Q�Ing Instrument w acknowled ed before me
this LTday of (�dV 20" by
rersonany Known OR
Type of Identification
„w' W
Commission
Revised 07/15/2014
In a or person acknowiedgl
Ignature No pub - I
Personally Known OR
Type of IdentiEcatlonprodueer
My CCiMgS10N#FF12V1? Commission
EXPIRES May 7. 2018
acknowledged before me
20j Z by
ASHLEY
Identification
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