HomeMy WebLinkAboutbuilding permit 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
PERMIT APPLICATION FOR: Plumbing I.I
PROPOSED IMPROVEMENT LOCATION: u
Address: 0625 NUEVO LAGOS
Legal Description: SPANISH LAKES FAIRWAYS
Property Tax ID#: 1306-500-0112-000-5 Lot No,10
Site Plan Name: A.ALLAN _ Block No. 41
Project Name:
Setbacks Front Back: Right Side: aft Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Admucirai wore to 0 rtormed under t � it—c ec a > appw
❑_HVAC Gas Tank DiGas -:»-.:ing s
Win dows/Coors
�—
I�IElectric 0 Plumbing LISpnnklers __ 3__._. _-.. ' I a—_:' Roof pitch
Total Sq. Ft of Construction: S-rfc F,.or First Roc.:
Cost of Construction:$ 1207 Utilities: L�ISewer Septic 6uild'ieg Height
OWNER/LESSEE: 1 CONTR(7.CF.:
NameHORACEALLEN DIMITRE B03EV
'lame:_
Address:6625 NUEVO LAGOS FLORIGA DELTA MECHANICAL
lompanv:
City: FORT PIERCE Sta[e: 2716 BROADWAY CENT ER 6LVD
Zip Code: 34951 Fax: _ `%3C� c FL
are:_
Phone de: 349-971-2616 - - -. 33°'9 866-219'rate
Fax'
E-Mail: _ _ .e�No 866-219-0880
Fill in fee simple Title Holder on next page(if different E-'V:_'It FLPERI iTS�_ TA,✓=,ANCA�COM
from the Owner listed above) StatE _.,,,._„ JFC'425917
If value of construction is$2500 or more,a RECORDED Notice of Commi..;.,, „
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Abd:ass:
City: State:_ City: State:_
Zip: Phone Z;p: phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: j Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby mace to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issoar ce of a permit.
St.Lucie Count makes no representation that is granting a permit v.I authorize the permit^.Older to build the subject structure
which is in con fyllot with any applicable Home Owners Association wits,bylaws cr and czvc:rarts that may restrict or prohibit such
structure, Please consult with your Home Owners Association and review your deed for any astriawns which may apply.
In consideration of the granting of this requested permit,I do hereby agree that, wii;, �u err, respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendmer.,s.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen roo,Ta and accessory uses.o rather son-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 finarI consult with :'ender or an attorney before
commencin work or recoI our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner �.g-a-ue a:Cc�tr_,-.a:;__=_:.=a ticks
STATE OF FLORIDA CTA-E OF FLORIDA
COUNTY OF COUNTY OF
The forgoing in
was acknowledged before me ":ne forgo:r:K r. :hart ,.as acknowledged before me
this_day of 20_ by -_day . .t , 20_ by
Name of person making statement Na r:t of t=-sc^ M.a kirg statement
Personally Known OR Produced Identification_ Personally Known OR Produced Identification_
Type of Identification —s pe err:as,I ilczd, n
Produced , r.,crcta
(Signature of Notary Public-State of Florida) b�gnature or No:ary put State of Florida)
Commission No. (Seal) tommission No, (Seal)
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGE7,T16 SEA,i,gTLE MANGROVE
DATE COUNTER REVIEW REVIEW -EV!EW REVIEW REVIEW REVIEW
RECEIVED L
DATE
COMPLETED
Rev.8/2/17 - - -