HomeMy WebLinkAboutBuilding Permit Applicaiton 2019-03-22 11:08 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 1/2
1 g03-0 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L) r 2.""[,� Permit Number: 0 L �, %•
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Building Permit Applicati.. M
Planning and Development Services 9 QR 2 2
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Buildin and Code Regulation Division ��4elti 2018
2300 Virginia Avenue,Fort Pierce FL 34982 `72a r0 /ig.
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential -j// Mg
PERMIT APPLICATION FOR: Plumbing
PR(3POSED iMPIOUENIENT LOVCATIONE-yr
Address: 208 SE SELVA CT
Legal Description: RIVER PARK-UNIT 6
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Property Tax ID#: 3419-545-0100-000-0 Lot No.3
Site Plan Name: Block No. 62
Project Name: MELVIN
Setbacks Front Back: Right Side: Left Side:
,. : .2R , ►itOF WORK fi -
PDETAIL D 3ESC• PTIO ,..,__ rM _. .,,.v..,._,. __.. .., _ ,.,... --=-____ .-,� ___,_. LL. ,ti' .L rfiT
30 GAL ELEC WATER HEATER REPLACEMENT
CO fSTRUCTION_INFORMATION, °` _ . ' ? . . . ,,.�
Additional work to be ertormed under this permit—check all hat apply:
HVAC 1A Gas Tank [Gas Piping I _Shutters L Windows/Doors
ElElectric 0 Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor: ____
Cost of Construction:$ 1367 Utilities: _Sewer _Septic Building Height:
OWN ER�I.ESSE h7 g ; ;: $FCONTRACTOR; rt0�1
.h•,,._��s,�,F.,..- -_ -.___ .. ,.-_ -._...,....n�_,._..�...V..__.,.—.,....._
Name HUBERT MELVIN Name: DIMITRE BOBEV
Address:208 SE SELVA CT Company: FLORIDA DELTA MECHANICAL ;II
City: PORT SAINT LUCIE State:FL Address: 8402 LAUREL FAIR C1R SUITE 111 II
Zip Code: 34983 Fax: City: TAMPA State:FL
Phone No.772-344-7183 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 ab ive) - State or County License: CFC1425917
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
2019-03-22 11:08 AM (EDT) To: +1 772-462-1578 From: +1 866-219-0729 Page 2/2
ISO:140MM1.9M:OONSTR JCTION LIEN LAW iKt0RIVIATIONO
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: 1 _ Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable 1
Name: Name:
Address: Address: I
City: City: Il
Zip: Phone: Zip: Phone:
:I
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 I
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 f inspec on. If ou intend to .btain financing,consult ' h lender or an ttorney befor
commenci r g ork or cor g yo/ Not.—- of Commencement. E
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORFDA
COUNTY OF 'Fly IlSbov-ci,�h COUNTY OF t--tt it S'ion y, i
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.72,day of VY1Lt)c h ,2019, by this'at day of yyVtrCh ,20 11 by
01 WI ti 606e0 f)t lmi't 1 boo
Name of person making statement Name of person making statement
Personally Known / OR Produced Identification Personally Known / OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Not Pu.E - ,MEDINA '(Signature of Notary P::,'_ =_ . -_. _- >...- ,.- _- i
C, 'LZ`l b �d4row��s Y KY H G(� ZZ6 bra,,,,,,, EMILY H.MEDINA
=,. iSSI4 GG 227458 :at••_`" -,
Commission No. +: ` :''- MY !.,� N# ommission No. 'ftr' ;_; ;*; MY COM �J#GG 227056 j
t ,w a S:June11,2022 �
'' ��' ruNota Public Underwrite. "s,;,✓^`c EXPIR $:June 1 2022 �
FoFfl Bonded 76 y . '••FO;;t;' Bonded Thru Notary Pak Undeiw iters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE '
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW 1
DATE
RECEIVED
DATE '
COMPLETED
Rev.8/2/17
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