HomeMy WebLinkAboutBuilding Permit Application 2018-09-20 9:27 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/3
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED !;
Date: lao I kO Permit Number: jut/ ciq0
COUNTY f>
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 X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATON x r
Address: —7061 NSU ! dS' L. Dr
Legal Description: MAIDSTONE
Property Tax ID#: 3322-505-0111-000-9 Lot No.
Site Plan Name: Block No.
Project Name: S.FRUSTIONE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIvPTION OF WORK,
50 GAL ELEC WATER HEATER REPLACEMENT
CONSTRICTION INFORMATION '
Additional work to be performed under this permit—check all that apply:
HVAC Gas Tank Gas Piping (_►Shutters Q Windows/Doors
Electric
El Plumbing 11SprinklersI I Generator [1 Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
1254
Cost of Construction:$ Utilities: Sewer _Septic' Building Height:
OWN ER/LESSEE, CONTRACTORr
Name SAMUEL FRUSTIONE Name: [MITRE BOBEV
Address:7058 MAIDSTONE DR Company: FLORIDA DELTA MECHANICAL `!
City: PORT SAINT LUCIE State:Fid Address: 8402 LAUREL FAIR CIR SUITE 111
Zip Code: 34986 Fax: City: TAMPA State:FL
Phone No.954-559-4334 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.
2018-09-20 9:27 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 2/3
SiJPREMENTALCONO701 TION E=N I AW 19)01 IATION 4ITrn
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 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 with your Flame 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 th • st inspe tion. If you intend to obtain financing,co ult with lender or an attorney before
commen(43.1
work o reco loyour Not' of Commenceme t.
c(
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f" b r t)
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF l'15 COUNTY OF fi'Ei I!s
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2jday of 5e pleyyl bey,204,1(by this \IJ day of ,-?(>1-f yr r ,20 (Y by
D Pe, kPC+ U nm itYQ, 661"X-14 r
Name of person makingstatement Name ofperson makingstatement � '�'
_.° 4
Personally Known K OR Produced Identification Personally Known X OR Produced Identificatio`i'O�4A*,. ?:: I
Type of Identification Type of Identification if
Produced Produced
tt - V3,-3, 522
(Signature of Notary Pu ic-State of F grjda)__ -__ Si nature of Nottry Public-State of Florida) R, o
u
,,,:s'vb ., EMILY H.ME IMA
Commission No. a ii• 11;*, PAYCOMMiSsloN '/ dor o.-C• (--:`, 2 L 7C-1-31-' (Seal) c 4 0
r t EXPIRES:Jure 11,2022 2.IS
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i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17