HomeMy WebLinkAboutBuilding Permit Application 2018-08-13 11:49 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/3
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C1 -A ' �� Permit N r: �
J NVEDVOD
Building Permit Applicata n AUG 13 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 s t, s s r A Com n t�/r FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial E
PERMIT APPLICATION FOR: Plumbing
Address: 5910 BAMBOO DRIVE FORT PIERCE,FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 09
Property Tax ID#: 3402-610-0500-000-1 Lot No.4
Site Plan Name: Block No. 87
Project Name: J.CORVASCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION�Ofi�WORK� 3 . � T� , �"
50 GAL ELEC WATER HEATER REPLACEMENT
GONSTRUGTION INF�OR(VIA�TI(3N s
nom.:__ —.. __. ......__. _.._.__.-._ —_ _ ....._... ...... ..
WHEN
itiona wor to e e orme under this permit—check all appy:
CIHVAC Gas Tank FIGas Piping _Shutters ❑Windows/Doors
❑Electric 0 Plumbing Sprinklers Generator FIRoof Roof pitch
Total Sq.Ft of Construction: SQ.Ft,of First Floor:
Cost of Construction:$ 1194 Utilities: Sewer OSeptic Building Height:
=0W[V_,ER/LESSEEggCONTRACTOR ,
Name JERRY CORVASCE Name: DIMITRE BOBEV
Address:5910 BAMBOO DR Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL Address: 8402 LAUREL FAIR CIR SUITE 111
Zip Code: 34982 Fax: City: TAMPA State:FL
Phone No.772-359-2067 Zip Code: 33610 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 more,a RECORDED Notice of Commencement is required.
I.' '
S.
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 County makes no representation that is granting apermit 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 restrict or prohibit such
structure.Please consult w th 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,wails,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
commencinAork or rpcorftig your Notice of Commencement
Signature ofOwner/Lessee/Contractor as Agent for Owner Signature f Contract r/Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF lS COUNTY OF A-i(I is
The f,o,r�oing Instrume t was acknowledged before me The f oing instrurpeptt was acknowl 20� by me
this K day of 20� by this day of J/W.J y
D!nat7ty<"J
&1XV L vAc fire. &beq
"Name of persgn making statement Name of per sog making statement
Personally Known VV OR Produced Identification Personally Known ✓✓ OR Produced Identification
Type of identification Type of Identification
Produced Produced
4
(Signature of Nota ate of FlgbiM MEDINA (Signature of Notary Publl
MY COMMISSION#00 227056 ,i4}'� :sib;, EMILY H.MEOINA
Commission No. o`•` EXPIRftrIWill,2022 Commission No. •i �• MISSION
'•,$ h°•'' Bon6odThro PubGaUnde+writers : ' �IRES:June11,2022
''lRS(t°� BMWTIVUN*ryPLftU
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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