HomeMy WebLinkAboutBuilding Permit Application 2018-10-04 11:19 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/3
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[[7L APPLICABLE
tt INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Or) -
RECEIVED
I -RECEIVED
Building Permit Application OCT 0 4 2018
Planning and Development Services
gui/ding and Code Regulation Division S.T. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PER MIT APPLICATION FOR: Plumbing
Address: 8098 PICOS RD FORT PIERCE, FL 34945
Legal Description: 14 35 39 W 112
Property Tax ID#: 2314-133-0010-000-2
Lot No.
Site Plan Name: Block No.
Project Name: TIMOTHY GAVER
Setba cks Front Back: Right Side: Left Side:
40 GAL ELEC WATER HEATER REPLACEMENT
..d
Additional wor to e De orme un er W15 permit-c ec a appy
❑HVAC Gas Tank ❑Gas PipingnGenerator
Shutters Windows/Doors
Electric Plumbing []Sprinklers a Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1239 Utilities:[]Sewer aseptic Building Height:
ER LESSEE �' i F'
• RAC OR _
Name TIMOTHY GAVER Name: DIMITRE BOBEV
Address:8098 PICOS RD Company: FLORIDA DELTA MECHANICAL
City: FORT PIERCE State:FL Address: 8402 LAUREL FAIR CIR SUITE 111
Zip Code: 34945 Fax: City: TAMPA
State:FL
Phone No.772-201-6066 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.
2018-10-09 11:19 AM (EDT) To: +1 772-962-1578 From: +1 866-219-0729 Page 2/3
SUFPLEIVI�NTA;L OONSTRI'J`�CTION LIEN}LA�iU iNF®�ftiVlATl01V ��� �'�
DESIGNER/ENGINEER: `Not Applicable MORTGAGE COMPANY: _Not Applicable•
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FETE 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 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}obsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
comme g workor reco_rding vour Notice of Commencement
r�-'b9"'r��' 6 91Z � )--"r
Sign atu?b of Own erIALessee Cont ctor as Agent for Owner Signatur of ontrac r/L ce se H
STATE OF FLORIDA . STATE OF FLORIDA
COUNTY OF 1lIS COUNTY OF_ �4 tls
The for o'ng instrument was acknowledged before me The forgping instrument was acknowledged before me
th is ay of- Q(,'t 7b,1( 20A by this�day of OC',7 r 201 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known- X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary blit- ate of Florida) (Signature of Nota u lic-State of Florida)
�G 2 2") 5� .�'�=_o-�_ _
r EMILY H.MEDiNA ;•��a' f
Commission No. �`9 �; (hSealj Co mission No. =• "=`.c°; (5N14YH•MEDINA
:,. � 4- 1Y C MMISSION#GG 227 - :■= i�lY OiAh1 SSION#GG 227055
EXPIRES:June 11, PIiiES:Jun p2
s!F.°f"•Oc�,Bonded Th Public 2022 '''eJ of EX 811,2
N Nota Under% ' Bonded Th
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE :
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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