HomeMy WebLinkAboutBuilding Permit Application 2018-09-06 10:28 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:
Permit Number:
RECEIVED
reco
•
t=' ____
Building Permit Application SEP 0 7 2018
Planning and Development Services "ermitt�ge epart
ent
Building and Code Regulation Division St. L County
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: 8546 BELFRY PL
Lega I Description: POD 28 AT THE RESERVE LOT 36
Property Tax ID#: 3327-701-0039-000-7 Lot No.36
Site Plan Name: Block No.
Project Name: J•KOOPMAN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Add itiona I work to be nerformed under this permit-check ail appy:
HVAC E]Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
0 Electric Z Plumbing Sprinklers [:]Generator a Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1397 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name JOHN KOOPMAN Name: DIMITRE BOBEV
Address:8546 BELFRY PL Company: FLORIDA DELTA MECHANICAL
City: PORT SAINT LUCIE State:FL Address: 8402 LAUREL FAIR CIRCLE SUITE 111
Zip Code: 34986 Fax: City: TAMPA State:FL
Phone No.786-486-8692 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
i
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.
2018-09-06 10:28 AM (EDT) To: +1 772-962-1578 From: +1 866-219-0729 Page 2/3
SLJ PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Na rne: Name:
Ad dress: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Na rne: 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 a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Horne 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,l 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,
access orystructures,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 ' t inspe tion. If you intend to obtain financing, consult with lender or an attorney before
commen n ork or recor our Not of Commencement.
A'
�--'I Y-.(-�50 P/1",- �4( �"I Y"'-��b 4Z
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/Licens Hol er
STATE OF FLORIDA STATE OF FLORIDA
COU NTY OF .hi,•i is COUNTY OF Ht'I l[.1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_�L day of � 20.E by this 4 day of S OL ,20� by
Name of person making statement Name of person making statement
Personally Known�_OR Produced Identification.. Personally KnownOR Produced Identification
Type of Identification Type of Identification
Produced_ Produced
I
I
(Signature of Not Public-State t re of Nota Public-State
... ;y.... ..�.
?o}'" EMILY H.MEN :o�'" 'Stt EMILY H.MED �+
Commission No.
@ )MYCOMMISSION#G h is on No.C-iC-i � S� IMYCOMMISSION# G 7056
EXPIRES:June 11 2022 =.+1�s �O`,• EXPIRES:June 11 2
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE I
COMPLETED
Rev.8/2/17