HomeMy WebLinkAboutScanALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2200 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: 8701 NORTH BLVD
Legal Description: LAKEWOOD PARK
Property Tax ID #: 1301-608-0207-000-4
Lot No.
Site Plan Name:
Block No.
Project Name: REED
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
40 GAL ELEC WATER HEATER REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to br orme rnuer t is permit — c ec
11HVAC Tank Gas Piping
�]Gas
a app y:
_ Shutters O Windows/Doors
11 Electric Z✓ Plumbing Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1320 Utilities:
S Ft. of First Floor:
Sewer O Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JAMES REED
Name: DIMITRE BOBEV
Company: FLORIDA DELTA MECHANICAL
Address: 8701 NORTH BLVD
City: FT PIERCE State- FIL
Address: 8402 LAUREL FAIR CIR 111
Zip Code: 34651 Fax:
City: TAMPA State: FL
Phone No. 772-468-2144
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
State or County License: CFC1425917
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 I 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.
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, 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 fir Inspecti n. If u intend to o tain financing, consult with lender or an attorney before
commencingw rk or ricordi 1tyour,Noti of CommencemgM. / n /
r
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF j�l r f 15"
COUNTY OF �Y lIS
The forgoing instrument was cknowiedged before me
V
The f r ing instrument w s acknowledged before me
this day of , 20_ f by
this7Tday of ,� j}(_ 20�y
Y�Jij rnI env
�� rr� ieu
Name of person making statement
Name of persop making statement
Personally Known (2S OR Produced Identification
Personally Known . OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I
(Signature of Notary
ate of Florida J
(Signature of Notary Pub' State of FI i
Commission No.
�YPy MEOIIVA
"': �
S.QYP4 F-MILYH.ME,DINA
Commission No. '""" • OMMIS510"(18227056
:., MY COMMISS'ON # GG 227056
EXPIRES: June 11, 2022
:.: :•:
"; o: EXPIRES: June 11, 2022
Bonded ihru Nola A
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eodF4°• Bonded Thru Notary Pubic Urtdarxriters
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17