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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 306 BAY ST PORT ST LUCIE, FL 34952
Legal Description: RIVER PARK UNIT 2
Property Tax ID p: 3419-510-0309-000-7
Lot No.
Site Plan Name:
Block No.
Project Name: S. WESTER
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
itlona wor to a erorme under is permit — c ec
a
IId�ff Gas Tank DGas Piping
_appy:
Shutters LFF� Wndows/Doors
IIS
Electric OPlumbing Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction:
5Ft. of First Floor:
Cost of Construction:$ 548 Utilities:tj Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSUSiE WESTER
Name: DiMrtaE BOBEV
Address:306 BAY ST
Company: FLORIDA DELTA MECHANICAL
City: PORT ST LUCIE State:FL
Address: 2716 BROADWAY CENTER BLVD
City: BRANDON State:FL
Zip Code: 34952 Fax:
Phone No. 772-985-7355
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
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: Phone
s.-.WAUct.UMFANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City:
ZIP: Phone:
UWNLK/ 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.
it. Lucie Countyy makes no representation that is granting a permit will authorize the ermit holder co build the subject srr�,rt,�r.
vhich is in wnfliR with any applicable Home owe... e.....�.e.._ -..,__ .. _.._ P
may
In consideration of the granting of this requested perm It, I do hereby agree that I will, In all respectsoperffo Perform the work appIy.
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
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 Nntirc ns r....,..,e..,.____.
SSTATE OF lgnatureof Owner/Agent /ess/ee
COUNTYO FLOW
n It
The fi>raoina looser -j7 Cwr. ay//acJknoWledged before me I The
signature of Contractor/Licensee Holder
STATE OF
COUNTYOF ORI!!d//f
rersonally Known ice`- OR Produced Identification
Person
Type of Identification P _
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`a °fi'. ASHLEY NICOLE ZIEGENGEIST
Commission
Type
No.
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EXPIRES May 7, 2018
Revised 07/25/2014 Cary emce.mM
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