HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 105 QUEENS ROAD FORT PIERCE, FL 34949
Legal Description: QUEENS COVE- UNIT THREE- BLK 25 LOT 10 (OR 4114-109)
Property Tax ID N: Lot No.10
Site Plan Name: Block No. 25
Project Name: d_ BARNES
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
50 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
II��mona wor to a erorme un i i i Is permit—c ec a appy:
OHVAC Gas Tank ❑Gas Piping
_ShuttersWindows/Doors
Electric OPlumbing 05prinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: 5Ft. of First Floor:
Cost of Construction: $ 783 Utilities:5ewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJOHN BARNES
Name: DIMITRE BOBEV
Address: 105 QUEENS ROAD
Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL
Address: 2716 BROADWAY CENTER BLVD
Zip Code: 34949 Fax:
City: BRANDON State:FL
Phone No. 847-772-5662
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: FLPERMITSODELTAMECHANICAL.COM
from the Owner listed above)
State or County License: CFC1425917
If value of construction iz $2500 or more, a RECORDED Notice oT Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
—Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:—
hone:FEESIMPLETITLEHOLDER:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
w—I v &nr wim r oma i un mrrluvl I : 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.
wh,chcishlmof imawith any applicable Homat
Owners Association) ruesabylaws or anscovenants tha build
ay 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
.
STATE OF FLO I
COUNTY OF ;\\�
The fo going instrument was acknowledge before me
thisdayof� 26,je by
Name of p r n making statement
Personally Known OR Produced Identification
Type of Igeptificatio
of Florida I
EXPIRES:APil25,2=
STATE OF FLO((ttIDA
COUNTY OF_
The forgoing instrument was acknowledge before me
this
\day of20by
Vp f—�tl�W l/
Name of persoQn making statement
Personally Known C -i OR Produced Identification _
Type of Id tificati in
Produced M,
REVIEWS NT ZONINGI COUO TER I REVIEW I S REVIEW UPERVISOR I REVIEW VREVIEEGETWION I SEA TURTANGRO
REV EWLE I M EV EWVE
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