HomeMy WebLinkAboutBuilding Permit application 2018-09-06 9:07 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: s Q 1 �v�� 6
RECEIVED
Building Permit Application SEP o 7 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSEDIMPROVEMENT LOCATION:
Address: 124 QUEEN BESS CT
Legal Description: QUEENS COVE-UNIT 1
Property Tax IDN: 1414-701-0150-000-2 Lot No.
Site Plan Name: Block No.
Project Name: W MCKENNY
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
50 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—c ec all apply:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
J Electric Plumbing Sprinklers E Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1474 Utilities:nSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name WILLIAM MCKENNY Name: DIMITRE BOBEV
Address: 124 QUEENS BESS CT Company: FLORIDA DELTA MECHANICAL
City: FT. PIERCE State:FL Address: 8402 LAUREL FAIR CIR SUITE 111
Zip Code: 34949 Fax: City: TAMPA State:FL
Phone No.772-468-8837 Zip Code: 33610 Fax: 866-219-0729
E-Mail: Phone No. 866-219-0880
I
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.
2018-09-06 9:07 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 2/4
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
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 a permit will authorize thepermit 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 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 irst inspection. If you intend to obtain financing, consult with lender or an attorney before
commen in work of recoMing your Notipe of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature oT Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A-(d COUNTY OF k-1, 11S
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Ge-QRW=MWK ,20A by this 5 day ofSg.gmV2,Y ,20l� by
e
D"�Tye. &Axu ( 2 A
Name of person making statement Name of person making statement Rl
Personally Known y- OR Produced Identification Personally Known V_ OR Produced Identificat! .=a
Type of Identification Type of Identification w
Produced Produced
or
(Signature of NotOry Public-Stat re of No ry Public-State of Florida)
��`•.. EMILY H.MEDI
Commission No. 2 Z'7 �{$eaIMYCOMMlSSiON#G 29N)6fmi ion No.
_22"I05 (Seal)
EXPIRES:June fi, 022
BOfIdW Thnf Notery Pub!k ff"tefs •.A, rt�r,�'c
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE !
COUNTER RFVIFW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE _
RECEIVED
DATE
COMPLETED
Rev.8/2/17