HomeMy WebLinkAboutBuilding Permit Application f
ALL 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 APPLICATION FOR: Plumbing
un PROPOSED IMPR0 "MENT,LOG�TION.. F..r. x„ v .0 . UM
,=:u...x.� ..M�� . �.3 ,ak.. a:
Address: 13000 harbour ridge blvd
Legal Description: HARBOUR RIDGE-PLAT 16-FIGTREE VILLAGE UNIT 14(OR 2269-1507)
Property Tax ID#: 4426-830-0016-000-4 Lot No.
Site Plan Name: Patrick R Colau Block No.
Project Name: Patrick R Colau
Setbacks Front Back: Right Side: Left Side:
IDET� DES
�.
50 gallon electric hot water heater
..:........:�E N � a
Additional work to e e orme un ert Ispermlt—c ec a apply:
11HVAC Li Gas Tank ❑Gas Piping _Shutters 11 Windows/Doors
Electric 0 Plumbing Sprinklers El Generator El Roof Roof pitch
Total Sq. Ft of Construction: S(7i Ft.of First Floor:
Cost of Construction:$ 1478.00 Utilities: Sewer Septic Building Height:
Ef�LESSEE . CONTRACtORF cxNO
Na me Patrick R Colau Name: dimitre bobev !,
Address:756 N Stanwick Rd Company: florida delta mechanical '..
City: Moorestown State:NJ Address: 2716 broadway center blvd
Zip Code: 08057 Fax: City: bnrandon State:FIL
Phone No.772-266-4979 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-morera-RECORDED-Notice-of-Commencement-is required. -- — J-
i
I
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: 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 prior to the issuance of a permit.
St. Lucie Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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-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
commerl work Qr recording our Notice of Commencement.
k
r
Signatur of wner/ essee/ ontr for as Agent for Owner Signature 6 tra ou ' s y Dd
STATE OF FLORID 11 C STATE OF FLORIDA 1
COUNTY OF COUNTY OF
The cro4niz instrugient was acknowled a ore me
day of 20L by t s ay of ._ 20 y
d e� 'l
Name of per o making statement Name of person aking statement
Personally Known�OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of o a ,u - Signature o o, p I a
k° ASH NICOLE ZIEGENGEIS =° °s°_ LEY NI LE ZIEGENGEIST
Commission No. _: MY 1NAISSION#FF120712 commission I Iq,y� MY COMMISStON(NE0I0712
{�°°,{° EXPIRES May 7, 2018 ``''?ari,..•^' EXPIRES May 7, 2018
""" (a07 388-0153 FlorldbNota SeivIce,mm
(ao7)398-ot53 FloritlallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17